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ASHLEY BROOKE GRAUL MD
NPI 1538427406
Obstetrics & Gynecology - Gynecologic Oncology in Fountain Hill, PA

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
701 OSTRUM ST STE 502, FOUNTAIN HILL, PA 18015(484) 526-7555(484) 503-7001 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashley Brooke Graul Md NPPES

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

ASHLEY BROOKE GRAUL MD (NPI 1538427406) is an individual gynecologic oncology provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD457669) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Temple University School Of Medicine (2012).

NPPES Registry Identity

NPI1538427406
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameASHLEY BROOKE GRAULCredential: MD
Location Address701 OSTRUM ST STE 502Fountain Hill, PA 18015-1153
Mailing Address701 Ostrum St Ste 502Fountain Hill, PA 18015-1153 · (484) 526-7555 · Fax (484) 503-4501
Phone(484) 526-7555
Fax(484) 503-7001
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2012
Enumeration DateApril 30, 2012
Last NPPES UpdateJuly 8, 2019
✔ NPI 1538427406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in PA · MD457669
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MT201379 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT201379 (PA)
701 OSTRUM ST STE 502, Fountain Hill, PA 18015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Brooke Graul 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 ID7416256201
PECOS Enrollment IDI20190807002932
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ashley Graul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
Same address
Maternal & Fetal Medicine
701 OSTRUM ST, SUITE 303
Fountain Hill, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1003867623 (484) 526-3900
Star Community Health, Inc
1.1 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700
St. Luke's Warren Physician Group, PC
13 mi
Gynecologic Oncology
123A ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 153 clinicians in this Medicare group
NPI 1174864490 (484) 526-7555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
121 services34 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.
81 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 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.
26 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
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.
16 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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 Graul's NPI number?

The NPI number for Ashley Graul is 1538427406. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Ashley Graul located?

Ashley Graul practices at 701 Ostrum St Ste 502, Fountain Hill, PA 18015. The listed phone number is (484) 526-7555.

What is Ashley Graul's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Ashley Graul enrolled in Medicare?

Yes. Ashley Graul 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.

Which organizations bill Medicare for Ashley Graul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Graul reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Fountain Hill, PA), Star Community Health, Inc (Bethlehem, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Graul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Graul accept?

Health plans from Oscar Health list Ashley Graul 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 Graul affiliated with any hospitals?

According to CMS data, Ashley Graul is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Ashley Graul was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.