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ASHLEY BREANNE DUNCHEON MD
NPI 1558913475
Pediatrics in Jasper, IN

Active since July 11, 2019PECOS Enrolled
800 W 9TH ST, JASPER, IN 47546(812) 996-2345 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 5, 2026, Jul 14, 2019 (2 updates tracked since 2019).

About Ashley Breanne Duncheon Md NPPES

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

ASHLEY BREANNE DUNCHEON MD (NPI 1558913475) is an individual pediatrics provider in Jasper, Indiana, licensed in Indiana (01087968A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558913475
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameASHLEY BREANNE DUNCHEONCredential: MD
Location Address800 W 9TH STJasper, IN 47546-2514
Mailing Address800 W 9th StJasper, IN 47546-2514
Phone(812) 996-2345
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2019
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1558913475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01087968A✔ Licensed in MI · 4351045640
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
800 W 9TH ST, Jasper, IN 47546
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Other Names 1

Former Name (1)Ashley Butler

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Breanne Duncheon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012245814
PECOS Enrollment IDI20260204002639
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

2

Medicare enrollment records show Ashley Duncheon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Memorial Medical Center Inc
Same address
Internal Medicine
800 W 9TH ST
Jasper, IN 47546
  • Reassigned Medicare billing, Indiana enrollment
  • 172 clinicians in this Medicare group
NPI 1396768537 (812) 482-2345
Deaconess Clinic Inc
0.1 mi
Pediatrics
721 W 13TH ST
Jasper, IN 47546
  • Reassigned Medicare billing, Indiana enrollment
  • 444 clinicians in this Medicare group
NPI 1104617141 (812) 996-7918

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47546 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

SARAH SALADIN
Occupational Therapist
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-0682
MR. MICHAEL A WOHLBERG MD
Radiology (Diagnostic Radiology)
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-2345
DEACONESS MEMORIAL MEDICAL CENTER, INC.
General Acute Care Hospital
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-2345
STEPHANIE M MATTHEWS MSW, LSW
Social Worker
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-0437
MRS. MEGHAN ELIZABETH BUCHTA CRNA
Nurse Anesthetist, Certified Registered
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-2345
JENNIFER L MERKLEY MSW, LSW
Social Worker (Clinical)
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-0437
NICHOLAS R KEESLER CRNA
Nurse Anesthetist, Certified Registered
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-2345
KELLY LYNN BAYER PTA, CLT
Physical Therapy Assistant
800 W 9TH ST
JASPER, IN 47546
Dubois County (812) 996-0682

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 Duncheon's NPI number?

The NPI number for Ashley Duncheon is 1558913475. It was assigned to this individual provider in the NPPES registry on July 11, 2019. The provider is also known as Ashley Butler.

Where is Ashley Duncheon located?

Ashley Duncheon practices at 800 W 9th St, Jasper, IN 47546. The listed phone number is (812) 996-2345.

What is Ashley Duncheon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ashley Duncheon enrolled in Medicare?

Yes. Ashley Duncheon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Duncheon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Duncheon reassigns Medicare benefits to 2 organizations: Deaconess Memorial Medical Center Inc (Jasper, IN) and Deaconess Clinic Inc (Jasper, IN). 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 Duncheon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Duncheon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Ashley Duncheon 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.

When was this NPI record last updated?

The NPPES record for Ashley Duncheon was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.