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ASHLEY THOMAS MD
NPI 1578714135
Internal Medicine - Infectious Disease in Orlando, FL

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
1012 LUCERNE TER, ORLANDO, FL 32806(401) 423-1039(407) 425-2347 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Thomas Md NPPES

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

ASHLEY THOMAS MD (NPI 1578714135) is an individual infectious disease provider in Orlando, Florida, licensed in Florida (ME106204) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1578714135
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameASHLEY THOMASCredential: MD
Location Address1012 LUCERNE TEROrlando, FL 32806-1015
Mailing Address1012 Lucerne TerOrlando, FL 32806-1015 · (401) 423-1039 · Fax (407) 425-2347
Phone(401) 423-1039
Fax(407) 425-2347
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 1, 2008
Last NPPES UpdateNovember 14, 2016
✔ NPI 1578714135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME106204
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1012 LUCERNE TER, Orlando, FL 32806
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Other Identifiers 3

Medicaid006677200FL
OtherME106204FL · Medical License
Medicare PINGQ384ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Ashley Thomas 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 ID9931350709
PECOS Enrollment IDI20121105000353
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
433 services193 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.
237 services137 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
112 services105 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.
58 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services27 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.
23 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

NAFEES ZEHRA HUSSAIN FNP
Nurse Practitioner (Adult Health)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
ROXANA FERRERA ARNP
Nurse Practitioner
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
ANTONIO CRESPO MD
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
EDGAR HERRERA SANCHEZ M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER, MP 803
ORLANDO, FL 32806
Orange County (407) 423-1039
CHRISTIAN DONATO SANTANA M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
IVY KIM LONG PHAN APRN
Nurse Practitioner (Adult Health)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
DIANA M. SALAZAR M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (321) 841-7750
ORLANDO HEALTH MEDICAL GROUP INC
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039

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 Thomas's NPI number?

The NPI number for Ashley Thomas is 1578714135. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Ashley Thomas located?

Ashley Thomas practices at 1012 Lucerne Ter, Orlando, FL 32806. The listed phone number is (401) 423-1039.

What is Ashley Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Ashley Thomas enrolled in Medicare?

Yes. Ashley Thomas 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 Thomas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Ashley Thomas 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 Thomas affiliated with any hospitals?

According to CMS data, Ashley Thomas is affiliated with Orlando Health, Adventhealth Orlando, Orlando Health-Health Central Hospital and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Thomas was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.