DR. JOSEPH CHARLES ASHBURN M.D.
NPI 1215110796
Psychiatry & Neurology - Neurology in Paducah, KY

Active since December 07, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2603 KENTUCKY AVE, SUITE 304, PADUCAH, KY 42003(270) 415-4800(270) 415-4801 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph Charles Ashburn M.d. NPPES

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

DR. JOSEPH CHARLES ASHBURN M.D. (NPI 1215110796) is an individual neurology provider in Paducah, Kentucky, licensed in North Carolina (142050) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1215110796
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JOSEPH CHARLES ASHBURNCredential: M.D.
Location Address2603 KENTUCKY AVE, SUITE 304Paducah, KY 42003-3814
Mailing Address2605 Kentucky Ave, Suite 306Paducah, KY 42003-3800 · (270) 415-7653 · Fax (270) 575-8359
Fax(270) 415-4801
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 7, 2007
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1215110796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NC · 142050
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2603 KENTUCKY AVE, Paducah, KY 42003

Other Identifiers 1

Medicaid7100168530KY

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

Dr. Joseph Charles Ashburn 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 ID7012186950
PECOS Enrollment IDI20110809000797
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.

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.
45 services29 patients
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.
27 services25 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.
25 services20 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
2603 KENTUCKY AVE, SUITE 402
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, SUITE 102
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 303
PADUCAH, KY 42003

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 Joseph Ashburn's NPI number?

The NPI number for Joseph Ashburn is 1215110796. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Joseph Ashburn located?

Joseph Ashburn practices at 2603 Kentucky Ave Suite 304, Paducah, KY 42003. The listed phone number is (270) 415-4800.

What is Joseph Ashburn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Joseph Ashburn enrolled in Medicare?

Yes. Joseph Ashburn 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 Joseph Ashburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Joseph Ashburn 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 Joseph Ashburn affiliated with any hospitals?

According to CMS data, Joseph Ashburn is affiliated with Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Joseph Ashburn was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.