DR. ASHTON NICOLE BREITHAUPT DO
NPI 1366896334
Internal Medicine - Nephrology in Knoxville, TN

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
320 PARK 40 NORTH BLVD, SUITE A, KNOXVILLE, TN 37923(865) 692-3462(865) 670-6333 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ashton Nicole Breithaupt Do NPPES

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

DR. ASHTON NICOLE BREITHAUPT DO (NPI 1366896334) is an individual nephrology provider in Knoxville, Tennessee, licensed in Tennessee (3979) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2016).

NPPES Registry Identity

NPI1366896334
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ASHTON NICOLE BREITHAUPTCredential: DO
Location Address320 PARK 40 NORTH BLVD, SUITE AKnoxville, TN 37923-3624
Mailing Address320 Park 40 North Blvd, Suite AKnoxville, TN 37923-3624 · (865) 692-3462 · Fax (865) 670-6333
Fax(865) 670-6333
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2016
Enumeration DateApril 15, 2016
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1366896334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TN · 3979
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
320 PARK 40 NORTH BLVD, Knoxville, TN 37923

Other Names 1

Professional Name (2)Ashton Neil Do

Accepted 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

Dr. Ashton Nicole Breithaupt Do 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 ID6305135054
PECOS Enrollment IDI20240422001012
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 10

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.
297 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services173 patients
Red blood cell concentration measurement 85014
Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.
163 services148 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
162 services147 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
161 services146 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
143 services134 patients

Hospital Affiliations CMS Care Compare 4

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Nephrology)
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923
Nurse Practitioner
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923
Internal Medicine (Nephrology)
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923
Physical Therapist (Neurology)
320 PARK 40 NORTH BLVD, SUITE B
KNOXVILLE, TN 37923
Internal Medicine (Nephrology)
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923
Internal Medicine (Nephrology)
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923
Internal Medicine (Nephrology)
320 PARK 40 NORTH BLVD, SUITE A
KNOXVILLE, TN 37923

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 Ashton Breithaupt's NPI number?

The NPI number for Ashton Breithaupt is 1366896334. It was assigned to this individual provider in the NPPES registry on April 15, 2016. The provider is also known as Ashton Neil Do.

Where is Ashton Breithaupt located?

Ashton Breithaupt practices at 320 Park 40 North Blvd Suite A, Knoxville, TN 37923. The listed phone number is (865) 692-3462.

What is Ashton Breithaupt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ashton Breithaupt enrolled in Medicare?

Yes. Ashton Breithaupt 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 Ashton Breithaupt accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Ashton Breithaupt 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 Ashton Breithaupt affiliated with any hospitals?

According to CMS data, Ashton Breithaupt is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Johnston Memorial Hospital and Clinch Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Ashton Breithaupt was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.