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DR. ASHLEY JO ROWATT KARPINOS MD, MPH
NPI 1174727655
Internal Medicine in Nashville, TN

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
719 THOMPSON LN, VANDERBILT MED-PEDS PRACTICE, SUITE 38500, NASHVILLE, TN 37204(615) 936-1212(615) 936-9431 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ashley Jo Rowatt Karpinos Md, Mph NPPES

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

DR. ASHLEY JO ROWATT KARPINOS MD, MPH (NPI 1174727655) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (45911) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2007).

NPPES Registry Identity

NPI1174727655
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHLEY JO ROWATT KARPINOSCredential: MD, MPH
Location Address719 THOMPSON LN, VANDERBILT MED-PEDS PRACTICE, SUITE 38500Nashville, TN 37204-3609
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 936-1212
Fax(615) 936-9431
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2007
Enumeration DateJune 11, 2007
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1174727655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 45911
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 45911 (TN)
Also ListedPediatricsTaxonomy 208000000X · License 45911 (TN)
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License 45911 (TN)
719 THOMPSON LN, Nashville, TN 37204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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

Dr. Ashley Jo Rowatt Karpinos Md, Mph 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 ID7113104340
PECOS Enrollment IDI20110615000523
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
50 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37204 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$12.49 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 20

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

DR. ERIC AUSTIN MILLICAN M.D.
Dermatology (MOHS-Micrographic Surgery)
719 THOMPSON LN, SUITE 26300
NASHVILLE, TN 37204
Davidson County (615) 322-0845
SHANNON MARIE DOODY CCC-SLP
Speech-Language Pathologist
719 THOMPSON LN
NASHVILLE, TN 37204
Davidson County (615) 322-3000
CARMIN D BARTOW
Speech-Language Pathologist
719 THOMPSON LN
NASHVILLE, TN 37204
Davidson County (615) 936-3606
KATHLEEN AMSTUTZ APRN
Nurse Practitioner (Family)
719 THOMPSON LN, SUITE 21000
NASHVILLE, TN 37204
Davidson County (615) 875-0645
MR. JAMES ROBERTSON NASH ACNP, BC
Nurse Practitioner (Acute Care)
719 THOMPSON LN, SUTIE 37189
NASHVILLE, TN 37204
Davidson County (615) 875-5111
DR. JESSICA L CASTILHO M.D.
Internal Medicine (Infectious Disease)
719 THOMPSON LN, SUITE 37189
NASHVILLE, TN 37204
Davidson County (615) 875-5111
CAITLIN M MANN CGC
Genetic Counselor, MS
719 THOMPSON LN, SUITE 27100
NASHVILLE, TN 37204
Davidson County (630) 569-0629
JILL RENE SLAMON MS, LCGC
Genetic Counselor, MS
719 THOMPSON LN, SUITE 27100
NASHVILLE, TN 37204
Davidson County (615) 936-3491

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 Karpinos's NPI number?

The NPI number for Ashley Karpinos is 1174727655. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Ashley Karpinos located?

Ashley Karpinos practices at 719 Thompson Ln Vanderbilt Med-Peds Practice, Suite 38500, Nashville, TN 37204. The listed phone number is (615) 936-1212.

What is Ashley Karpinos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashley Karpinos enrolled in Medicare?

Yes. Ashley Karpinos 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 Karpinos accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Ashley Karpinos 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 Karpinos affiliated with any hospitals?

According to CMS data, Ashley Karpinos is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Karpinos was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.