1. Home
  2. Directory
  3. Texas
  4. Lufkin
  5. Surgery
  6. NPI Profile

ASHLEY NICOLE MCELROY M.D.
NPI 1821401142
Surgery in Lufkin, TX

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment
62.51/100
CMS Quality Rating
109 WESTSIDE MEDICAL BLVD, LUFKIN, TX 75904(936) 634-8216(936) 888-2201 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2025, Jun 15, 2019 (2 updates tracked since 2019).

About Ashley Nicole Mcelroy M.d. NPPES

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

ASHLEY NICOLE MCELROY M.D. (NPI 1821401142) is an individual surgery provider in Lufkin, Texas, licensed in Texas (S2112) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1821401142
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameASHLEY NICOLE MCELROYCredential: M.D.
Location Address109 WESTSIDE MEDICAL BLVDLufkin, TX 75904-1461
Mailing AddressPo Box 150507Lufkin, TX 75915-0507 · (936) 634-8216 · Fax (936) 888-2201
Phone(936) 634-8216
Fax(936) 888-2201
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2013
Enumeration DateJune 4, 2014
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1821401142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · S2112
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.
109 WESTSIDE MEDICAL BLVD, Lufkin, TX 75904
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ashley Nicole Mcelroy M.d. 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 ID9234433095
PECOS Enrollment IDI20190806000041
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 Reassignments

2

Medicare enrollment records show Ashley Mcelroy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Angelina Surgical Associates
0.1 mi
Surgery
109 WESTSIDE MEDICAL BLVD
Lufkin, TX 75904
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1093865214 (936) 634-8216
Healogics Specialty Physicians Of Texas, PLLC
167 mi
Surgery
1105 CENTRAL EXPY N MEDICAL OFFICE STE 2210
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 92 clinicians in this Medicare group
NPI 1285051094 (972) 747-4325

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 9

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
65 services38 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.
60 services60 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.
45 services31 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
45 services43 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.
25 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

62.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.75
Promoting Interoperability0

Other Providers at the Same Location NPPES 4

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

ANGELINA SURGICAL ASSOCIATES
Surgery
109 WESTSIDE MEDICAL BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8216
DARRY G MEYER D.O.
Surgery
109 WESTSIDE MEDICAL BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8216
JEFFREY SCOTT HAMAKER M.D.
Surgery
109 WESTSIDE MEDICAL BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8216
ALAN S BASSIN MD
Surgery
109 WESTSIDE MEDICAL BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8216

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 Mcelroy's NPI number?

The NPI number for Ashley Mcelroy is 1821401142. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Ashley Mcelroy located?

Ashley Mcelroy practices at 109 Westside Medical Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-8216.

What is Ashley Mcelroy's specialty?

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

Is Ashley Mcelroy enrolled in Medicare?

Yes. Ashley Mcelroy 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 organizations bill Medicare for Ashley Mcelroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Mcelroy reassigns Medicare benefits to 2 organizations: Angelina Surgical Associates (Lufkin, TX) and Healogics Specialty Physicians Of Texas, PLLC (Allen, TX). Each 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 Ashley Mcelroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Mcelroy accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ashley Mcelroy 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 Ashley Mcelroy affiliated with any hospitals?

According to CMS data, Ashley Mcelroy is affiliated with Chi St Lukes Health Memorial Lufkin, Chi St Lukes Health Memorial Livingston and Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Mcelroy was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.