DR. RICHARD W. ASHBURN MD
NPI 1861492746
Internal Medicine - Pulmonary Disease in South Weymouth, MA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190(781) 952-1200(781) 340-1610 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard W. Ashburn Md NPPES

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

DR. RICHARD W. ASHBURN MD (NPI 1861492746) is an individual pulmonary disease provider in South Weymouth, Massachusetts, licensed in Massachusetts (77246) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Boston University School Of Medicine (1982).

NPPES Registry Identity

NPI1861492746
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RICHARD W. ASHBURNCredential: MD
Location Address541 MAIN ST, SUITE 400South Weymouth, MA 02190-1868
Mailing Address541 Main St, Suite 314South Weymouth, MA 02190-1868 · (781) 952-1480 · Fax (781) 340-1610
Fax(781) 340-1610
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1982
Enumeration DateJuly 21, 2005
Last NPPES UpdateFebruary 23, 2016
NPI 1861492746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 77246
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 77246 (MA)
541 MAIN ST, South Weymouth, MA 02190

Other Identifiers 8

Other48985MA · Fallon Community Health
Medicaid3126064MA
Other0036414MA · Neighborhood Health Plan
Other66289MA · Harvard Pilgrim
Medicare UPINE58112
Other077246MA · Tufts Health Plan
OtherJ14114MA · Blue Cross Blue Shield
Medicare PINJ14114MA

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

Dr. Richard W. Ashburn 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 ID1254387772
PECOS Enrollment IDI20050329000497
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers174 claims174 services$35.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers179 claims179 services$79.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers167 claims491 services$28.71 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier77 claims454 services$16.99 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier42 claims242 services$13.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers130 claims130 services$47.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Counselor
541 MAIN ST, SUITE 303
WEYMOUTH, MA 02190
Counselor (Mental Health)
541 MAIN ST
WEYMOUTH, MA 02190
Internal Medicine (Cardiovascular Disease)
541 MAIN ST, SUITE 400
SOUTH WEYMOUTH, MA 02190
Social Worker (Clinical)
541 MAIN ST, SUITE 216 STETSON BUILDING
WEYMOUTH, MA 02190
Counselor (Mental Health)
541 MAIN ST, SUITE 303
WEYMOUTH, MA 02190
Counselor (Mental Health)
541 MAIN ST
WEYMOUTH, MA 02190
Counselor (Mental Health)
541 MAIN ST
WEYMOUTH, MA 02190
Physical Therapist
541 MAIN ST, SUITE 103
SOUTH WEYMOUTH, MA 02190

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 Ashburn's NPI number?

The NPI number for Richard Ashburn is 1861492746. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Richard Ashburn located?

Richard Ashburn practices at 541 Main St Suite 400, South Weymouth, MA 02190. The listed phone number is (781) 952-1200.

What is Richard Ashburn's specialty?

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

Is Richard Ashburn enrolled in Medicare?

Yes. Richard Ashburn 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 Ashburn affiliated with any hospitals?

According to CMS data, Richard Ashburn is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Richard Ashburn was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.