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JONATHAN MICHAEL ASHLEY M.D.
NPI 1275919672
Hospitalist in State College, PA

Active since August 07, 2015PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
1800 E PARK AVE, STATE COLLEGE, PA 16803(814) 278-4818(814) 234-6150 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2019, Sep 24, 2018 (2 updates tracked since 2018).

About Jonathan Michael Ashley M.d. NPPES

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

JONATHAN MICHAEL ASHLEY M.D. (NPI 1275919672) is an individual hospitalist provider in State College, Pennsylvania, licensed in Pennsylvania (MD465856) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1275919672
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJONATHAN MICHAEL ASHLEYCredential: M.D.
Location Address1800 E PARK AVEState College, PA 16803
Mailing Address1800 E Park AveState College, PA 16803-6797 · (814) 278-4818 · Fax (814) 234-6150
Phone(814) 278-4818
Fax(814) 234-6150
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 7, 2015
Last NPPES UpdateSeptember 4, 20192 updates tracked since enumeration
✔ NPI 1275919672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD465856
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD465856 (PA)
1800 E PARK AVE, State College, PA 16803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Michael Ashley 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 ID9335417468
PECOS Enrollment IDI20181101002966
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

3

Medicare enrollment records show Jonathan Ashley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Nittany Medical Center Health Services Inc
3.2 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000
Upmc Altoona
31 mi
General Acute Care Hospital
306 PLUM ST
Williamsburg, PA 16693
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1487604179 (Pennsylvania)
  • 28 clinicians in this Medicare group
NPI 1437100765 (814) 832-3405
Upmc Altoona Regional Health Services, Inc
36 mi
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1396724217 (814) 946-1655

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

Areas of Expertise CMS Part B claims 2

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.
102 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services65 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%32 patients4/55-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 2

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 suppliers11 claims11 services$17.86 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
3 suppliers15 claims15 services$87.57 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 20

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

DR. RYAN R RIDENOUR DO
Hospitalist
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 278-4818
SETH CANNER CRNA
Nurse Anesthetist, Certified Registered
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 231-7000
MISS HEATHER LE HARPSTER MS, RD, LDN
Dietitian, Registered
1800 E PARK AVE, NUTRITION AND CULINARY SERVICES
STATE COLLEGE, PA 16803
Centre County (814) 231-7194
ASHLEY MARIE BOWSER PA-C
Physician Assistant
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 278-4818
MS. LINDSAY MARIE SCHANCK PA-C
Emergency Medicine
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 278-4851
MRS. HEATHER JO WALKER CRNA
Nurse Anesthetist, Certified Registered
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 231-7000
WILLIAM H JUSTICE MD
Anesthesiology
1800 E PARK AVE
STATE COLLEGE, PA 16803
Centre County (814) 231-7000
DR. KEVIN ALLAN MISHOCK D.O.
Emergency Medicine (Emergency Medical Services)
1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTER
STATE COLLEGE, PA 16803
Centre County (814) 234-6110

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 Jonathan Ashley's NPI number?

The NPI number for Jonathan Ashley is 1275919672. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Jonathan Ashley located?

Jonathan Ashley practices at 1800 E Park Ave, State College, PA 16803. The listed phone number is (814) 278-4818.

What is Jonathan Ashley's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jonathan Ashley enrolled in Medicare?

Yes. Jonathan Ashley 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.

Which organizations bill Medicare for Jonathan Ashley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Ashley reassigns Medicare benefits to 3 organizations: Mount Nittany Medical Center Health Services Inc (State College, PA), Upmc Altoona (Williamsburg, PA) and Upmc Altoona Regional Health Services, Inc (Altoona, PA). 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 Jonathan Ashley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Ashley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jonathan Ashley 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 Jonathan Ashley affiliated with any hospitals?

According to CMS data, Jonathan Ashley is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Ashley was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.