ISAAC ASHLEY
NPI 1437547361
Family Medicine in Charleston, WV

Active since December 30, 2014PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
6135 SISSONVILLE DR, CHARLESTON, WV 25312(304) 984-1576(304) 984-1565 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Isaac Ashley NPPES

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

ISAAC ASHLEY (NPI 1437547361) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (207Q00000X) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (2014).

NPPES Registry Identity

NPI1437547361
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameISAAC ASHLEY
Location Address6135 SISSONVILLE DRCharleston, WV 25312-9444
Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047
Fax(304) 984-1565
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2014
Enumeration DateDecember 30, 2014
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1437547361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6135 SISSONVILLE DR, Charleston, WV 25312

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

Isaac Ashley 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 ID143545293
PECOS Enrollment IDI20190329002422
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
109 services60 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
24 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25312 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
48%170 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
57%519 patients3/55-star benchmark: 88%
Diabetes: Eye Exam
34%184 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%184 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,345 patients4/55-star benchmark: 100%
e-Prescribing
100%1,204 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%859 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 775 patients
Patients screened: 99% · 775 patients
43%257 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
54%505 patients3/55-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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims61 services$6.39 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,925 services$0.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.11 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 9

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

Dentist
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Psychologist (Clinical)
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Pharmacist
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Nurse Practitioner (Family)
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Pharmacy (Community/Retail Pharmacy)
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Nurse Practitioner (Family)
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Family Medicine
6135 SISSONVILLE DR
CHARLESTON, WV 25312
Psychologist
6135 SISSONVILLE DR
CHARLESTON, WV 25312

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 Isaac Ashley's NPI number?

The NPI number for Isaac Ashley is 1437547361. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Isaac Ashley located?

Isaac Ashley practices at 6135 Sissonville Dr, Charleston, WV 25312. The listed phone number is (304) 984-1576.

What is Isaac Ashley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Isaac Ashley enrolled in Medicare?

Yes. Isaac 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.

What insurance does Isaac Ashley accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Isaac 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 Isaac Ashley affiliated with any hospitals?

According to CMS data, Isaac Ashley is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Isaac Ashley was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.