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DR. LYALL J ASHBERG M.D.
NPI 1902854102
Orthopaedic Surgery in Baltimore, MD

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1800 ORLEANS ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Apr 10, 2025, Jul 21, 2022 and 2 more (5 updates tracked since 2015).

About Dr. Lyall J Ashberg M.d. NPPES

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

DR. LYALL J ASHBERG M.D. (NPI 1902854102) is an individual orthopaedic surgery provider in Baltimore, Maryland, licensed in Maryland (D0104195) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Up Health System Portage, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902854102
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. LYALL J ASHBERGCredential: M.D.
Location Address1800 ORLEANS STBaltimore, MD 21287-0010
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423 · Fax (561) 437-8337
Phone(410) 955-5000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1997
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 16, 20255 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1902854102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MD · D0104195✔ Licensed in IL · 036139327✔ Licensed in FL · ME84409
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License ME84409 (FL)
1800 ORLEANS ST, Baltimore, MD 21287
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Other Names 1

Other Name (5)N/a N/a Md

Secondary Practice Locations 2

Location 1201 N US Highway 1 Ste D10Jupiter, FL 33477-5135 · Phone (630) 796-9928 · Fax (561) 437-8337
Location 2931 SE Ocean Blvd Ste AStuart, FL 34994-2425 · Phone (561) 510-1514

Other Identifiers 1

Medicaid263685900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Care Network of Michigan 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

Dr. Lyall J Ashberg 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 ID4981663119
PECOS Enrollment IDI20041006000520, I20240712002295
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

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

Up Health System Portage

Acute Care Hospitals · Hancock, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number230108
Location500 Campus DriveHancock, MI 49930 · Houghton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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

KATHRYN ROSENBLATT M.D.
Anesthesiology
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-7461
DR. CARMEL BOGLE M.D.
Pediatrics
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (443) 287-0526
MIAN MOHAMMAD BILAL KHALID MD
Internal Medicine (Gastroenterology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
SPENCER WILSON
Surgery (Trauma Surgery)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 933-6423
EVAN FOX
Radiology (Neuroradiology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
ADAM ROBERT BUSSELLS
Physician Assistant
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
DR. SARAH WALSER MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (484) 883-6433
LYNN DESROSIERS FNP-C
Nurse Practitioner (Family)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-2800

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 Lyall Ashberg's NPI number?

The NPI number for Lyall Ashberg is 1902854102. It was assigned to this individual provider in the NPPES registry on May 4, 2006. The provider is also known as N/A N/A MD.

Where is Lyall Ashberg located?

Lyall Ashberg practices at 1800 Orleans St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Lyall Ashberg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lyall Ashberg enrolled in Medicare?

Yes. Lyall Ashberg 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 Lyall Ashberg accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Lyall Ashberg 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 Lyall Ashberg affiliated with any hospitals?

According to CMS data, Lyall Ashberg is affiliated with Up Health System Portage.

When was this NPI record last updated?

The NPPES record for Lyall Ashberg was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.