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RICHARD GENE ASHFORD C.R.N.P.
NPI 1679622054
Nurse Practitioner in Hazleton, PA

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
1740 E BROAD ST, HAZLETON, PA 18201(570) 459-2901(570) 459-6090 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2020, Jan 2, 2020 (2 updates tracked since 2020).

About Richard Gene Ashford C.r.n.p. NPPES

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

RICHARD GENE ASHFORD C.R.N.P. (NPI 1679622054) is an individual nurse practitioner in Hazleton, Pennsylvania, licensed in Pennsylvania (TP005647B) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1679622054
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRICHARD GENE ASHFORDCredential: C.R.N.P.
Location Address1740 E BROAD STHazleton, PA 18201-5667
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 459-2901
Fax(570) 459-6090
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1679622054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · TP005647B
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License TP005647B (PA)
1740 E BROAD ST, Hazleton, PA 18201
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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

Richard Gene Ashford C.r.n.p. 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 ID3779612593
PECOS Enrollment IDI20100603000368
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 4

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 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.
510 services255 patients
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.
26 services25 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
25 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
100%87 patients5/55-star benchmark: 96%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%26 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%137 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%989 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%121 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%20 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%179 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
100%43 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%406 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
61%23 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%406 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%406 patients1/55-star benchmark: 79%
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

B. BITTAR, M.D., P.C.
Pediatrics
1740 E BROAD ST, SUITE 103
HAZLETON, PA 18201
Luzerne County (570) 455-9531
PATRICIA ROSATI CRNP
Nurse Practitioner (Family)
1740 E BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 459-2901
JOSE I CASTILLO MD
Internal Medicine (Medical Oncology)
1740 E BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 459-2902
BASSAM BITTAR M.D.
Pediatrics
1740 E BROAD ST, STE 103
HAZLETON, PA 18201
Luzerne County (570) 455-9531
CHRISTINA M BRADFORD CRNP
Nurse Practitioner (Adult Health)
1740 E BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 459-2901
GEISINGER MEDICAL CENTER
Clinic/Center
1740 E BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 271-5555
HARSH GANDHI MD
Internal Medicine (Medical Oncology)
1740 E BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 459-2902
NORTHEAST MEDICAL ONCOLOGY ASSOCIATES, INC.
Internal Medicine (Medical Oncology)
1740 E BROAD ST
HAZLETON, PA 18201
Luzerne County (570) 459-2902

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 Richard Ashford's NPI number?

The NPI number for Richard Ashford is 1679622054. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Richard Ashford located?

Richard Ashford practices at 1740 E Broad St, Hazleton, PA 18201. The listed phone number is (570) 459-2901.

What is Richard Ashford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Richard Ashford enrolled in Medicare?

Yes. Richard Ashford 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.

Is Richard Ashford affiliated with any hospitals?

According to CMS data, Richard Ashford is affiliated with Geisinger Medical Center and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for Richard Ashford was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.