Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHLEY BOUSTANY MD
NPI 1235544602
Plastic Surgery in Charleston, SC

Q: What is Ashley Boustany's NPI number?

The NPI number for Ashley Boustany is 1235544602. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Ashley Boustany's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Boustany was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since June 24, 2014PECOS Enrolled

2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 722-1985 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 9, 2026, Apr 29, 2021, Nov 16, 2015 (3 updates tracked since 2015).

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About Ashley Boustany Md NPPES

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

ASHLEY BOUSTANY MD (NPI 1235544602) is an individual plastic surgery provider in Charleston, South Carolina, licensed in South Carolina (98042) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1235544602

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameASHLEY BOUSTANYCredential: MD

Location Address2295 HENRY TECKLENBURG DRCharleston, SC 29414-7801

Mailing Address2295 Henry Tecklenburg DrCharleston, SC 29414-7801 · (843) 722-1985

Phone(843) 722-1985

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2014

Enumeration DateJune 24, 2014

Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1235544602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in SC · 98042

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License R3419 (KY), 282059 (MA)

2295 HENRY TECKLENBURG DR, Charleston, SC 29414

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Secondary Practice Location 1

Location 1110 Francis St Ste 5ABoston, MA 02215-5566 · Phone (617) 632-7827

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Boustany Md 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 ID2466753090

PECOS Enrollment IDI20210730000139

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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

ALEXANDRA MARIE RAMA DNP, FNP-BC

Nurse Practitioner