ANDREW RANDOLPH ASHBY MD
NPI 1518028505
Internal Medicine - Pulmonary Disease in Washington, IA

Q: What is Andrew Ashby's NPI number?

The NPI number for Andrew Ashby is 1518028505. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Andrew Ashby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Ashby was last updated on June 2, 2023. 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.

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment

400 E POLK ST, WASHINGTON, IA 52353(319) 863-3900 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrew Randolph Ashby Md NPPES

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

ANDREW RANDOLPH ASHBY MD (NPI 1518028505) is an individual pulmonary disease provider in Washington, Iowa, licensed in Iowa (36736) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Washington County Hospital And Clinics, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1518028505

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameANDREW RANDOLPH ASHBYCredential: MD

Location Address400 E POLK STWashington, IA 52353-1254

Mailing AddressPo Box 2027Iowa City, IA 52244-2027 · (319) 339-3541 · Fax (319) 358-2737

Phone(319) 863-3900

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2002

Enumeration DateDecember 13, 2006

Last NPPES UpdateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1518028505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IA · 36736

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 36736 (IA)

400 E POLK ST, Washington, IA 52353

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Andrew Randolph Ashby Md 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 ID648371567

PECOS Enrollment IDI20070723000421

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 2

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

Washington County Hospital And Clinics

Critical Access Hospitals · Washington, IA

OwnershipGovernment - Local

CMS Certification Number161344

Location400 East Polk StreetWashington, IA 52353 · Washington County

Emergency services

Jefferson County Health Center

Critical Access Hospitals · Fairfield, IA

OwnershipGovernment - Local

CMS Certification Number161364

Location2000 S MainFairfield, IA 52556 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52353 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 40

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

14 suppliers87 claims88 services$41.64 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

13 suppliers43 claims79 services$1.68 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

6 suppliers14 claims14 services$15.11 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

5 suppliers14 claims33 services$0.58 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

4 suppliers12 claims14 services$1.37 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

15 suppliers73 claims73 services$101.05 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

14 suppliers78 claims206 services$38.32 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

13 suppliers74 claims348 services$21.68 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

9 suppliers34 claims155 services$16.41 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

15 suppliers90 claims90 services$61.91 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

16 suppliers109 claims109 services$20.62 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

5 suppliers11 claims11 services$11.44 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

15 suppliers70 claims70 services$18.26 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

19 suppliers174 claims878 services$2.60 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers20 claims20 services$7.45 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

15 suppliers78 claims78 services$12.96 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers133 claims137 services$16.99 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$50.19 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers79 claims80 services$866.94 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers29 claims29 services$127.70 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers18 claims18 services$846.06 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers13 claims13 services$170.73 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers37 claims37 services$14.65 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

11 suppliers203 claims209 services$6.75 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers186 claims190 services$41.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

19 suppliers670 claims673 services$96.46 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

11 suppliers218 claims221 services$34.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

10 suppliers12 claims12 services$41.42 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

9 suppliers37 claims2,460 services$4.73 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

20 suppliers133 claims8,610 services$6.43 avg. paid by Medicare

Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram J7608

DME-Drugs Administered Through DME · category DG000N

5 suppliers27 claims759 services$4.77 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

27 suppliers162 claims28,765 services$0.03 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

8 suppliers49 claims9,225 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

28 suppliers163 claims14,040 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

20 suppliers176 claims11,018 services$0.75 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims465 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

20 suppliers136 claims714,501 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

5 suppliers55 claims55 services$34.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

46 suppliers509 claims509 services$24.42 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

11 suppliers19 claims19 services$49.35 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 20

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

MRS. COURTNEY ROSE COCHRAN DNP, ARNP, FNP-C

Nurse Practitioner (Family)

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 863-3900

WASHINGTON COUNTY HOSPITAL

General Acute Care Hospital (Critical Access)

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 653-5481

DANA FOWLER ARNP

Nurse Practitioner (Critical Care Medicine)

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 653-5481

DR. PAMELA V GEDNEY DNP, FNP-BC, APNP

Nurse Practitioner (Family)

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 653-5481

ANNE SPOSATO RD

Dietitian, Registered

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 863-3937

GRACE CHABAL MD

Obstetrics & Gynecology

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 653-5481

SUMIN TAMMY LI M.D.

General Practice

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 550-5118

WASHINGTON COUNTY HOSPITAL

Clinic/Center

400 E POLK ST
WASHINGTON, IA 52353

Washington County (319) 653-5481

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 Ashby's NPI number?

The NPI number for Andrew Ashby is 1518028505. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Andrew Ashby located?

Andrew Ashby practices at 400 E Polk St, Washington, IA 52353. The listed phone number is (319) 863-3900.

What is Andrew Ashby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Ashby enrolled in Medicare?

Yes. Andrew Ashby 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 Ashby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Andrew Ashby 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 Ashby affiliated with any hospitals?

According to CMS data, Andrew Ashby is affiliated with Washington County Hospital And Clinics and Jefferson County Health Center.

When was this NPI record last updated?

The NPPES record for Andrew Ashby was last updated on June 2, 2023. 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.