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ANSLEY GARDNER BROACH PA
NPI 1386141638
Physician Assistant in Charlotte, NC

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1021 MOREHEAD MEDICAL DR, STE A, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 6 more (9 updates tracked since 2018).

About Ansley Gardner Broach Pa NPPES

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

ANSLEY GARDNER BROACH PA (NPI 1386141638) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-09576) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1386141638
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANSLEY GARDNER BROACHCredential: PA
Location Address1021 MOREHEAD MEDICAL DR, STE ACharlotte, NC 28204-2990
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 442-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 11, 2018
Last NPPES UpdateJuly 15, 20249 updates tracked since enumeration
NPPES CertifiedMarch 30, 2022
✔ NPI 1386141638 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 NC · 0010-09576
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.
1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11550 Faulk StMonroe, NC 28112-5086 · Phone (980) 442-0430
Location 24525 Cameron Valley Pkwy, Ste 3500Charlotte, NC 28211-4369 · Phone (704) 302-8300
Location 3945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790
Location 4100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Ansley Gardner Broach Pa 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 ID8820345242
PECOS Enrollment IDI20200114000023
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 3

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 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.
165 services62 patients
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.
22 services21 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.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

ARMIDA PARALA-METZ MD
Internal Medicine (Hospice and Palliative Medicine)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MANISHA BHUTANI MD
Internal Medicine (Hematology)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
TRISHA WOOTEN FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
VALERIE DENISE TAYLOR PA
Physician Assistant
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MICHAEL SHELDON RICHARDSON MD
Internal Medicine
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
LEAH HOWE CUPP FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
DEBA SARMA MD
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
PETER EARL CLARK MD
Urology
1021 MOREHEAD MEDICAL DR, STE 6100
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000

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 Ansley Broach's NPI number?

The NPI number for Ansley Broach is 1386141638. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Ansley Broach located?

Ansley Broach practices at 1021 Morehead Medical Dr Ste A, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Ansley Broach's specialty?

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

Is Ansley Broach enrolled in Medicare?

Yes. Ansley Broach 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 Ansley Broach accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Ansley Broach 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 Ansley Broach affiliated with any hospitals?

According to CMS data, Ansley Broach is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Ansley Broach was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.