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DR. ASHLEY SHARRELL BIRMINGHAM M.D.
NPI 1235572371
Obstetrics & Gynecology in Flower Mound, TX

Active since April 08, 2013PECOS Enrolled
74.59/100
CMS Quality Rating
4001 LONG PRAIRIE RD STE 150, GRADUATE MEDICAL EDUCATION, FLOWER MOUND, TX 75028(972) 420-1470(972) 420-1465 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2020, Aug 7, 2018, Jun 27, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Ashley Sharrell Birmingham M.d. NPPES

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

DR. ASHLEY SHARRELL BIRMINGHAM M.D. (NPI 1235572371) is an individual obstetrics & gynecology provider in Flower Mound, Texas, licensed in Texas (Q4017) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235572371
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ASHLEY SHARRELL BIRMINGHAMCredential: M.D.
Location Address4001 LONG PRAIRIE RD STE 150, GRADUATE MEDICAL EDUCATIONFlower Mound, TX 75028
Mailing Address4001 Long Prairie Rd Ste 150Flower Mound, TX 75028-1535 · (972) 420-1470 · Fax (972) 420-1465
Phone(972) 420-1470
Fax(972) 420-1465
Sole ProprietorNo
Enumeration DateApril 8, 2013
Last NPPES UpdateApril 20, 20205 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1235572371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · Q4017
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4001 LONG PRAIRIE RD STE 150, Flower Mound, TX 75028
Open in Google Maps ↗

Other Names 1

Former Name (1)Ashley Sharrell Aktins Md

Other Identifiers 1

Medicaid3753766-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashley Sharrell Birmingham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ashley Birmingham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lewisville Obstetrics & Gynecology Associates. P.A.
Same address
Specialist
4001 LONG PRAIRIE RD, SUITE 150
Flower Mound, TX 75028
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1689628612 (972) 420-1470
University Of Texas Southwestern Medical Center At Dallas
6.9 mi
Pediatrics
470 EAST STATE HWY 114
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1275838732 (214) 645-0624
Texoma Womens Clinic P.A.
104 mi
Obstetrics & Gynecology
6 BURNSIDE
Wichita Falls, TX 76310
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texoma Womens Clinic PA
  • 19 clinicians in this Medicare group
NPI 1104854777 (940) 723-8151
Obhg Texas Holdings, P.A.
185 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 5

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

DR. LAUREN KAY HASTINGS BANKS M.D.
Obstetrics & Gynecology
4001 LONG PRAIRIE RD STE 150
FLOWER MOUND, TX 75028
Denton County (972) 420-1470
JAZMIN UNIQUE HORNE MD
Obstetrics & Gynecology
4001 LONG PRAIRIE RD STE 150
FLOWER MOUND, TX 75028
Denton County (972) 420-1470
KATHLYN KIGHT MD
Obstetrics & Gynecology
4001 LONG PRAIRIE RD STE 150
FLOWER MOUND, TX 75028
Denton County (972) 420-1470
AKSHAYA JAIN M.D.
Obstetrics & Gynecology
4001 LONG PRAIRIE RD STE 150
FLOWER MOUND, TX 75028
Denton County (972) 420-1470
ASHLEY NELSON-SMITH DO
Obstetrics & Gynecology
4001 LONG PRAIRIE RD STE 150
FLOWER MOUND, TX 75028
Denton County (972) 420-1470

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 Birmingham's NPI number?

The NPI number for Ashley Birmingham is 1235572371. It was assigned to this individual provider in the NPPES registry on April 8, 2013. The provider is also known as Ashley Sharrell Aktins MD.

Where is Ashley Birmingham located?

Ashley Birmingham practices at 4001 Long Prairie Rd Ste 150 Graduate Medical Education, Flower Mound, TX 75028. The listed phone number is (972) 420-1470.

What is Ashley Birmingham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ashley Birmingham enrolled in Medicare?

Yes. Ashley Birmingham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Birmingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Birmingham reassigns Medicare benefits to 4 organizations: Lewisville Obstetrics & Gynecology Associates. P.A. (Flower Mound, TX), University Of Texas Southwestern Medical Center At Dallas (Southlake, TX), Texoma Womens Clinic P.A. (Wichita Falls, TX) and Obhg Texas Holdings, P.A. (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Birmingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Birmingham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ashley Birmingham 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.

When was this NPI record last updated?

The NPPES record for Ashley Birmingham was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.