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ASHLEY HOUGHTON MD
NPI 1720173834
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
200 LOTHROP ST, PITTSBURGH, PA 15213(412) 647-3087 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Houghton Md NPPES

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

ASHLEY HOUGHTON MD (NPI 1720173834) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD430091) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1996).

NPPES Registry Identity

NPI1720173834
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameASHLEY HOUGHTONCredential: MD
Location Address200 LOTHROP STPittsburgh, PA 15213-2536
Mailing Address3601 5th AvePittsburgh, PA 15213-3403 · (412) 648-6161
Phone(412) 647-3087
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1996
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720173834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD430091
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
200 LOTHROP ST, Pittsburgh, PA 15213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Houghton 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 ID840186078
PECOS Enrollment IDI20120522001131
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 8

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.

Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
80 services74 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
78 services73 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
68 services62 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.
18 services18 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.
14 services11 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

CHELSIE DAHL
Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-5909
OTHMAN MOHAMED-ASEM ABDUL-MALAK
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAITLEN MORGAN
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
UTPAL JHA M.D.
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 530-6274
RACHEL IVY FRICK
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6017
ARTUR ZGUROV MD
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAREN KAIJIE XU MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
SAM ALLEN MICHELHAUGH MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 770-4949

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 Houghton's NPI number?

The NPI number for Ashley Houghton is 1720173834. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Ashley Houghton located?

Ashley Houghton practices at 200 Lothrop St, Pittsburgh, PA 15213. The listed phone number is (412) 647-3087.

What is Ashley Houghton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ashley Houghton enrolled in Medicare?

Yes. Ashley Houghton 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 Houghton accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ashley Houghton 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 Houghton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.