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MOHAMMED ASHRAF M.D.
NPI 1245213313
Family Medicine in Hillsboro, MO

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
4 HICKORY RIDGE RD, SUITE 600, HILLSBORO, MO 63050(636) 481-6040(636) 797-5633 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohammed Ashraf M.d. NPPES

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

MOHAMMED ASHRAF M.D. (NPI 1245213313) is an individual family medicine provider in Hillsboro, Missouri, licensed in Missouri (2008034880) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1245213313
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHAMMED ASHRAFCredential: M.D.
Location Address4 HICKORY RIDGE RD, SUITE 600Hillsboro, MO 63050-5100
Mailing Address227 E Main StFestus, MO 63028-1952 · (636) 931-2700 · Fax (636) 931-5304
Phone(636) 481-6040
Fax(636) 797-5633
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 22, 2005
Last NPPES UpdateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1245213313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2008034880✔ Licensed in TX · U5570✔ Licensed in IL · 036106437
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.
4 HICKORY RIDGE RD, Hillsboro, MO 63050
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Other Identifiers 1

Medicaid036106437IL

Accepted Insurance

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

Mohammed Ashraf 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 ID9335119643
PECOS Enrollment IDI20040726001184
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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services50 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients
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.
19 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63050 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
48%21 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%94 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%64 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%21 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers36 claims37 services$16.27 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims12 services$27.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers54 claims55 services$59.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

AMBER WALLENBROCK RN
Registered Nurse
4 HICKORY RIDGE RD
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
DR. KATHERINE ROSEMARY GARRITY D.D.S.
Dentist
4 HICKORY RIDGE RD, SUITE 600
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
SANDRA DREZEK
Dental Hygienist
4 HICKORY RIDGE RD, SUITE 600
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
DR. OLIVIA COLLINS DDS
Dentist
4 HICKORY RIDGE RD
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
STEPHEN BECK
Dentist (General Practice)
4 HICKORY RIDGE RD
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
DR. HEATHER LYNN MORGAN DO
Family Medicine
4 HICKORY RIDGE RD
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
COMPASS HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4 HICKORY RIDGE RD, STE 600
HILLSBORO, MO 63050
Jefferson County (636) 481-6040
MR. KEVIN MARCELL TURNER DO
Internal Medicine
4 HICKORY RIDGE RD, SUITE 600
HILLSBORO, MO 63050
Jefferson County (636) 481-6040

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 Mohammed Ashraf's NPI number?

The NPI number for Mohammed Ashraf is 1245213313. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Mohammed Ashraf located?

Mohammed Ashraf practices at 4 Hickory Ridge Rd Suite 600, Hillsboro, MO 63050. The listed phone number is (636) 481-6040.

What is Mohammed Ashraf's specialty?

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

Is Mohammed Ashraf enrolled in Medicare?

Yes. Mohammed Ashraf 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 Mohammed Ashraf accept?

Health plans from Blue Cross and Blue Shield of Texas list Mohammed Ashraf 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 Mohammed Ashraf affiliated with any hospitals?

According to CMS data, Mohammed Ashraf is affiliated with Anderson Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Mohammed Ashraf was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.