ASHLEY MARIE HYNES PA-C
NPI 1144730128
Physician Assistant in Collinsville, IL

Active since October 04, 2017PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
531 VANDALIA ST, COLLINSVILLE, IL 62234(618) 344-0090(618) 344-4371 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2021, May 6, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Ashley Marie Hynes Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY MARIE HYNES PA-C (NPI 1144730128) is an individual physician assistant in Collinsville, Illinois, licensed in Illinois (085006349) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144730128
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY MARIE HYNESCredential: PA-C
Location Address531 VANDALIA STCollinsville, IL 62234-4061
Mailing Address531 Vandalia StCollinsville, IL 62234-4061 · (618) 344-0090 · Fax (618) 344-4371
Fax(618) 344-4371
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 4, 2017
Last NPPES UpdateDecember 23, 20213 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
NPI 1144730128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085006349
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

531 VANDALIA ST, Collinsville, IL 62234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ashley Marie Hynes Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951659150
PECOS Enrollment IDI20230131003672
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims47 services$5.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
531 VANDALIA ST
COLLINSVILLE, IL 62234
Health Maintenance Organization
531 VANDALIA ST, SECOND FLOOR
COLLINSVILLE, IL 62234
Family Medicine
531 VANDALIA ST, SUITE 100
COLLINSVILLE, IL 62234
Family Medicine
531 VANDALIA ST
COLLINSVILLE, IL 62234
Family Medicine
531 VANDALIA ST, SUITE 100
COLLINSVILLE, IL 62234
Nurse Practitioner (Family)
531 VANDALIA ST
COLLINSVILLE, IL 62234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144730128, enumerated as an "individual" on October 04, 2017.

The provider is located at 531 VANDALIA ST COLLINSVILLE, IL 62234 and the phone number is (618) 344-0090.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Ashley Hynes is affiliated with: GOOD SAMARITAN REGIONAL HLTH CENTER, SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY and SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL.