ANDREW D ASHBAUGH DO
NPI 1437413556
Family Medicine - Sports Medicine in Renton, WA

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
3915 TALBOT RD S STE 200, RENTON, WA 98055(425) 690-3400(425) 690-0600 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Mar 27, 2020 (2 updates tracked since 2020).

About Andrew D Ashbaugh Do NPPES

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

ANDREW D ASHBAUGH DO (NPI 1437413556) is an individual sports medicine provider in Renton, Washington, licensed in Washington (OP60649784) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1437413556
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameANDREW D ASHBAUGHCredential: DO
Location Address3915 TALBOT RD S STE 200Renton, WA 98055-5738
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Fax(425) 690-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 3, 2012
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1437413556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in WA · OP60649784
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OP60649784 (WA)
3915 TALBOT RD S STE 200, Renton, WA 98055

Other Identifiers 2

OtherG8955898WA · Medicare W Valley Medical Group - Renton
Medicaid2020746WA

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

Andrew D Ashbaugh 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 ID4385959485
PECOS Enrollment IDI20160906002727
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 8

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
166 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services88 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.
82 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
42 services21 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
36 services19 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 5

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

Family Medicine
3915 TALBOT RD S STE 200
RENTON, WA 98055
Nurse Practitioner (Family)
3915 TALBOT RD S STE 200
RENTON, WA 98055
Family Medicine
3915 TALBOT RD S STE 200
RENTON, WA 98055
Family Medicine
3915 TALBOT RD S STE 200
RENTON, WA 98055
Physician Assistant
3915 TALBOT RD S STE 200
RENTON, WA 98055

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 Andrew Ashbaugh's NPI number?

The NPI number for Andrew Ashbaugh is 1437413556. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Andrew Ashbaugh located?

Andrew Ashbaugh practices at 3915 Talbot Rd S Ste 200, Renton, WA 98055. The listed phone number is (425) 690-3400.

What is Andrew Ashbaugh's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Andrew Ashbaugh enrolled in Medicare?

Yes. Andrew Ashbaugh 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 Andrew Ashbaugh accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew Ashbaugh 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 Andrew Ashbaugh affiliated with any hospitals?

According to CMS data, Andrew Ashbaugh is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Ashbaugh was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.