ASHLEY WIETSMA JOHNSTON M.D.
NPI 1548656226
Urology in Indianapolis, IN

Q: What is Ashley Johnston's NPI number?

The NPI number for Ashley Johnston is 1548656226. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Q: What is Ashley Johnston's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Johnston was last updated on July 14, 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.

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-8896 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2021, Jun 11, 2021, Apr 20, 2021 (3 updates tracked since 2021).

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About Ashley Wietsma Johnston M.d. NPPES

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

ASHLEY WIETSMA JOHNSTON M.D. (NPI 1548656226) is an individual urology provider in Indianapolis, Indiana, licensed in Indiana (01085472A) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2014).

NPPES Registry Identity

NPI1548656226

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameASHLEY WIETSMA JOHNSTONCredential: M.D.

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 948-8896

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2014

Enumeration DateApril 9, 2015

Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1548656226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IN · 01085472A

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Wietsma Johnston M.d. 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 ID8921409780

PECOS Enrollment IDI20230815002117

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)