ASHTON MARY GULLY PA-C
NPI 1366248445
Physician Assistant in Bryan, TX

Q: What is Ashton Gully's NPI number?

The NPI number for Ashton Gully is 1366248445. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Q: What is Ashton Gully's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashton Gully was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 20, 2025PECOS Enrolled

2206 E VILLA MARIA RD, BRYAN, TX 77802(979) 776-4600 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2025, Feb 20, 2025 (2 updates tracked since 2025).

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About Ashton Mary Gully Pa-c NPPES

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

ASHTON MARY GULLY PA-C (NPI 1366248445) is an individual physician assistant in Bryan, Texas, licensed in Texas (PA18665) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366248445

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameASHTON MARY GULLYCredential: PA-C

Location Address2206 E VILLA MARIA RDBryan, TX 77802-2547

Mailing Address2206 E Villa Maria RdBryan, TX 77802-2547 · (979) 776-4600

Phone(979) 776-4600

Sole ProprietorNo

Enumeration DateFebruary 20, 2025

Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1366248445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA18665

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2206 E VILLA MARIA RD, Bryan, TX 77802

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashton Mary Gully Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77802 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 14

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

CHRISTOPHER JOSEPH DERBES M.D.

Internal Medicine (Gastroenterology)