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ASHLEY DUCHARME
NPI 1437733078
Physician Assistant in Worcester, MA

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE NORTH, WORCESTER, MA 01655(508) 334-4161(774) 443-7622 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Nov 8, 2024, May 10, 2021 (3 updates tracked since 2021).

About Ashley Ducharme NPPES

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

ASHLEY DUCHARME (NPI 1437733078) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA100564) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437733078
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY DUCHARME
Location Address55 LAKE AVE NORTHWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-4161
Fax(774) 443-7622
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 10, 2021
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1437733078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA100564✔ Licensed in RI · PA01401
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.
55 LAKE AVE NORTH, Worcester, MA 01655
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Secondary Practice Locations 2

Location 12 Dudley St # Op1Providence, RI 02905-3236 · Phone (401) 444-5662
Location 234 Captain John Jacobs Rd Apt 209East Providence, RI 02914-5390 · Phone (401) 206-2122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ashley Ducharme 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 ID3870028459
PECOS Enrollment IDI20241119002963
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.

Hospital Affiliations CMS Care Compare 5

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 20

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

NICHOLAS CHARLES FASANO MD
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-3850
IRYNA RASTARHUYEVA M.D.
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (502) 334-3850
ANDREW ERNEST BENNETT M.D., PH.D.
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-3850
DR. MARY ANN BADON MD
Orthopaedic Surgery
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
RYAN SUTHERLAND MD
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-3850
BILLY BUFF MD
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-3850
COREY D HARRISON MD
Emergency Medicine
55 LAKE AVE NORTH, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655
Worcester County (508) 421-1400
JUSTINE E MORRIS M.D.
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-3850

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 Ashley Ducharme's NPI number?

The NPI number for Ashley Ducharme is 1437733078. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Ashley Ducharme located?

Ashley Ducharme practices at 55 Lake Ave North, Worcester, MA 01655. The listed phone number is (508) 334-4161.

What is Ashley Ducharme's specialty?

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

Is Ashley Ducharme enrolled in Medicare?

Yes. Ashley Ducharme 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 Ashley Ducharme accept?

Health plans from Anthem Blue Cross and Blue Shield list Ashley Ducharme 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 Ashley Ducharme affiliated with any hospitals?

According to CMS data, Ashley Ducharme is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital, Umass Memorial Medical Center/University Campus and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Ducharme was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.