AMBROSIA WILLOUGHBY PA-C
NPI 1194029561
Physician Assistant in Arlington, TX

Q: What is Ambrosia Willoughby's NPI number?

The NPI number for Ambrosia Willoughby is 1194029561. It was assigned to this individual provider in the NPPES registry on December 29, 2010.

Q: What is Ambrosia Willoughby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since December 29, 2010PECOS Enrolled

73.71/100

CMS Quality Rating

800 ORTHOPEDIC WAY, ARLINGTON, TX 76015(817) 375-5200 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ambrosia Willoughby Pa-c NPPES

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

AMBROSIA WILLOUGHBY PA-C (NPI 1194029561) is an individual physician assistant in Arlington, Texas and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Baylor Surgical Hospital At Las Colinas, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194029561

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMBROSIA WILLOUGHBYCredential: PA-C

Location Address800 ORTHOPEDIC WAYArlington, TX 76015-1629

Mailing Address3533 Matlock RdArlington, TX 76015-3604 · (817) 419-0303 · Fax (817) 468-5963

Phone(817) 375-5200

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 29, 2010

Last NPPES UpdateApril 7, 2016

✔ NPI 1194029561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

800 ORTHOPEDIC WAY, Arlington, TX 76015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambrosia Willoughby Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335321462

PECOS Enrollment IDI20110310001035

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 10

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.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

44 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.

35 services29 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

34 services34 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

32 services32 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

32 services32 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

28 services21 patients

Hospital Affiliations CMS Care Compare

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

Baylor Surgical Hospital At Las Colinas

Acute Care Hospitals · Irving, TX

OwnershipProprietary

CMS Certification Number450874

Location400 West Lyndon B Johnson Suite 101BIrving, TX 75063 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76015 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

73.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.5

Promoting Interoperability

Improvement Activities

Cost

57.86

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.

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