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ASHLEY HELEN MALCOLM M.D.
NPI 1205030913
Family Medicine in Danville, VA

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
705 MAIN ST, DANVILLE, VA 24541(434) 791-4122(434) 791-4126 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2018, Sep 18, 2017 (2 updates tracked since 2017).

About Ashley Helen Malcolm M.d. NPPES

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

ASHLEY HELEN MALCOLM M.D. (NPI 1205030913) is an individual family medicine provider in Danville, Virginia, licensed in Illinois (036124998) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (2007).

NPPES Registry Identity

NPI1205030913
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameASHLEY HELEN MALCOLMCredential: M.D.
Location Address705 MAIN STDanville, VA 24541-1803
Mailing Address705 Main StDanville, VA 24541-1803 · (434) 791-4122 · Fax (434) 791-4126
Phone(434) 791-4122
Fax(434) 791-4126
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2007
Enumeration DateJune 14, 2007
Last NPPES UpdateMarch 12, 20182 updates tracked since enumeration
✔ NPI 1205030913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036124998✔ Licensed in VA · 0101250748
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036124998 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036124998 (IL)
705 MAIN ST, Danville, VA 24541
Open in Google Maps ↗

Other Identifiers 3

Other491863VA · Medicare Ngs
Medicaid15787696910VA
OtherVV3910AVA · Medicare Part B

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 Helen Malcolm M.d. 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 ID8224164025
PECOS Enrollment IDI20100331000731
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
361 services339 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.
37 services35 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

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.

TINA SMITH GATEWOOD PA
Physician Assistant
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-4123
DR. JAMES EMMETT HARTIGAN JR. D.D.S.
Dentist
705 MAIN ST, PATHS, INC.
DANVILLE, VA 24541
Danville City (434) 791-0214
PIEDMONT ACCESS TO HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-4555
MS. ABIGAIL BATSON MD
Pediatrics
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-4122
DEIRDRE ARROYO NP
Nurse Practitioner (Family)
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-4122
DR. ROBERT H. GOODNIGHT M.D.
Family Medicine
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-4122
DR. ROBERT E BROUGHTON M.D.
Pediatrics
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-4122
MRS. JUDY C BROUGHTON MN, FNP
Nurse Practitioner (Family)
705 MAIN ST
DANVILLE, VA 24541
Danville City (434) 791-3630

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 Malcolm's NPI number?

The NPI number for Ashley Malcolm is 1205030913. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Ashley Malcolm located?

Ashley Malcolm practices at 705 Main St, Danville, VA 24541. The listed phone number is (434) 791-4122.

What is Ashley Malcolm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ashley Malcolm enrolled in Medicare?

Yes. Ashley Malcolm 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.

Is Ashley Malcolm affiliated with any hospitals?

According to CMS data, Ashley Malcolm is affiliated with St Anthonys Memorial Hospital, Hshs Holy Family Hospital Inc, St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Malcolm was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.