SAMUEL ASHBY D.O.
NPI 1598150492
Orthopaedic Surgery in Sun City West, AZ

Q: What is Samuel Ashby's NPI number?

The NPI number for Samuel Ashby is 1598150492. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Samuel Ashby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Ashby was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment

83.42/100

CMS Quality Rating

14416 W MEEKER BLVD, SUN CITY WEST, AZ 85375(623) 876-3870(623) 285-2707 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2019, Jul 25, 2018 (2 updates tracked since 2018).

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About Samuel Ashby D.o. NPPES

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

SAMUEL ASHBY D.O. (NPI 1598150492) is an individual orthopaedic surgery provider in Sun City West, Arizona, licensed in Arizona (007452) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Kansas Medical Center Llc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1598150492

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameSAMUEL ASHBYCredential: D.O.

Location Address14416 W MEEKER BLVDSun City West, AZ 85375-5284

Mailing Address14416 W Meeker BlvdSun City West, AZ 85375-5284 · (623) 876-3870 · Fax (623) 285-2707

Phone(623) 876-3870

Fax(623) 285-2707

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 30, 2015

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1598150492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in AZ · 007452✔ Licensed in FL · UO3595✔ Licensed in KS · 05-42364

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

14416 W MEEKER BLVD, Sun City West, AZ 85375

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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

Samuel Ashby D.o. 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 ID5496002495

PECOS Enrollment IDI20180723001233, I20190822003404

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 17

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 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.

348 services249 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

261 services184 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

225 services141 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.

212 services172 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.

161 services161 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

94 services91 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

93 services35 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

85 services71 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

31 services30 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

29 services29 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

29 services28 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

24 services14 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

21 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Aspiration and/or injection of fluid from large joint 20610

14 services12 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Kansas Medical Center LLC

Acute Care Hospitals · Andover, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170197

Location1124 West 21st StreetAndover, KS 67002 · Butler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85375 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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.

83.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.21

Promoting Interoperability

Improvement Activities

Cost

73.2

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers12 claims12 services$39.91 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.

MICHAEL V KOSS MD

Internal Medicine (Gastroenterology)

14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375

Maricopa County (623) 583-5273

VALERIE MARKS D.O.

Internal Medicine

14416 W MEEKER BLVD, SUITE 100
SUN CITY WEST, AZ 85375

Maricopa County (623) 583-5100

CANDACE M NAPIER FNP

Nurse Practitioner (Family)

14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375

Maricopa County (623) 583-5083

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Nutritionist (Nutrition, Education)

14416 W MEEKER BLVD
SUN CITY WEST, AZ 85375

Maricopa County (623) 876-3800

JOEL A JACOBSON MD

Family Medicine

14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375

Maricopa County (623) 583-5100

ANTHONY D SANTOS MD

Dermatology

14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375

Maricopa County (623) 583-5180

JAMIL RAZZAQ DO

Internal Medicine

14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375

Maricopa County (623) 583-5083

CINDY PENARANDA

Dietitian, Registered

14416 W MEEKER BLVD, SUITE 100
SUN CITY WEST, AZ 85375

Maricopa County (623) 876-6960

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 Samuel Ashby's NPI number?

The NPI number for Samuel Ashby is 1598150492. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Samuel Ashby located?

Samuel Ashby practices at 14416 W Meeker Blvd, Sun City West, AZ 85375. The listed phone number is (623) 876-3870.

What is Samuel Ashby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Samuel Ashby enrolled in Medicare?

Yes. Samuel 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 Samuel Ashby accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Samuel 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 Samuel Ashby affiliated with any hospitals?

According to CMS data, Samuel Ashby is affiliated with Kansas Medical Center LLC.

When was this NPI record last updated?

The NPPES record for Samuel Ashby was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.