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THOMAS LOUIS ASHLEY MD
NPI 1780684456
Surgery in Spartanburg, SC

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-1576(864) 560-1590 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Louis Ashley Md NPPES

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

THOMAS LOUIS ASHLEY MD (NPI 1780684456) is an individual surgery provider in Spartanburg, South Carolina, licensed in South Carolina (18103) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1780684456
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS LOUIS ASHLEYCredential: MD
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-1576
Fax(864) 560-1590
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1983
Enumeration DateJuly 26, 2005
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1780684456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 18103
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
101 E WOOD ST, Spartanburg, SC 29303
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Other Identifiers 4

Medicaid7905997NC
MedicaidT18996SC
Other020042141Railroad Medicare
OtherS396821Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 and accepts Medicare assignment

Thomas Louis Ashley 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 ID6002911856
PECOS Enrollment IDI20070424000038
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 Reassignment

Medicare enrollment records show Thomas Ashley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spartanburg Medical Center
Same address
Hematology & Oncology
380 SERPENTINE DR, GIBBS CANCER CENTER
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1053724450 (South Carolina)
  • 814 clinicians in this Medicare group
NPI 1013161520 (864) 560-7050

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

Areas of Expertise CMS Part B claims 2

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 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.
28 services28 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.
26 services16 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
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.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

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 Thomas Ashley's NPI number?

The NPI number for Thomas Ashley is 1780684456. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Thomas Ashley located?

Thomas Ashley practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-1576.

What is Thomas Ashley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Ashley enrolled in Medicare?

Yes. Thomas Ashley 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.

Which organization bills Medicare for Thomas Ashley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Ashley reassigns Medicare benefits to Spartanburg Medical Center (Spartanburg, SC). The 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 Thomas Ashley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Ashley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Thomas Ashley 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 Thomas Ashley affiliated with any hospitals?

According to CMS data, Thomas Ashley is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Ashley was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.