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GEM M ASHBY MD
NPI 1811145865
Obstetrics & Gynecology in Wesley Chapel, FL

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
2391 OAK MYRTLE LANE, WESLEY CHAPEL, FL 33544(813) 803-2219(813) 602-5251 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gem M Ashby Md NPPES

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

GEM M ASHBY MD (NPI 1811145865) is an individual obstetrics & gynecology provider in Wesley Chapel, Florida, licensed in Florida (ME102718) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1811145865
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameGEM M ASHBYCredential: MD
Location Address2391 OAK MYRTLE LANEWesley Chapel, FL 33544-4653
Mailing Address20209 Regal Fern CtTampa, FL 33647-3651 · (973) 454-7453
Phone(813) 803-2219
Fax(813) 602-5251
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 3, 2008
Last NPPES UpdateMay 23, 2018
✔ NPI 1811145865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME102718✔ Licensed in IN · ME102718
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2391 OAK MYRTLE LANE, Wesley Chapel, FL 33544
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Gem M Ashby 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 ID6507919321
PECOS Enrollment IDI20090727000623
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.

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33544 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
92%208 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%940 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
58%89 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
55%349 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
95%1,409 patients4/55-star benchmark: 100%
e-Prescribing
95%354 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%872 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
57%1,147 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 52% · 904 patients
50%904 patients
Provide Patients Electronic Access to Their Health Information
96%423 patients4/55-star benchmark: 100%
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.

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 Gem Ashby's NPI number?

The NPI number for Gem Ashby is 1811145865. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Gem Ashby located?

Gem Ashby practices at 2391 Oak Myrtle Lane, Wesley Chapel, FL 33544. The listed phone number is (813) 803-2219.

What is Gem Ashby's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gem Ashby enrolled in Medicare?

Yes. Gem 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 Gem Ashby accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Molina Healthcare and 2 other insurers list Gem 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 Gem Ashby affiliated with any hospitals?

According to CMS data, Gem Ashby is affiliated with Adventhealth Tampa and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Gem Ashby was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.