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ASHLEY CZAPLICKI
NPI 1164983219
Emergency Medicine in Houston, TX

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(713) 798-1750(713) 798-4693 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2023, Jul 18, 2022 (2 updates tracked since 2022).

About Ashley Czaplicki NPPES

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

ASHLEY CZAPLICKI (NPI 1164983219) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (T3269) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164983219
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameASHLEY CZAPLICKI
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address99 N Thatcher Bend CirSpring, TX 77389-2853 · (773) 899-0522
Phone(713) 798-1750
Fax(713) 798-4693
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1164983219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · T3269
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1504 TAUB LOOP, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare and more.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 Czaplicki 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 ID7911393889
PECOS Enrollment IDI20220331002289
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 4

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

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
96 services94 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services57 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES 20

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

ZAVEN SARGSYAN MD
Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
KAYE-ANN ANTONETTE CHRISTIE PA-C
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
EMILY MARIE WEBSTER PA-C
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890
DR. MIGUEL A NIETO D.O.
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Harris County (713) 873-7045
DR. LOUIS BRUNO FORNAGE MD
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-3060
EMMA NAPOLI
Internal Medicine (Infectious Disease)
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2309
DR. MICHELE TROUTMAN GIFFORD MD
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 798-1750
DR. KYLE SUEN M.D.
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-8890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Czaplicki's NPI number?

The NPI number for Ashley Czaplicki is 1164983219. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Ashley Czaplicki located?

Ashley Czaplicki practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 798-1750.

What is Ashley Czaplicki's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ashley Czaplicki enrolled in Medicare?

Yes. Ashley Czaplicki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Czaplicki accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare and UnitedHealthcare list Ashley Czaplicki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashley Czaplicki affiliated with any hospitals?

According to CMS data, Ashley Czaplicki is affiliated with Memorial Hermann Hospital System, St Luke's The Woodlands Hospital and Chi St Lukes Lakeside Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Czaplicki was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.