RACHAEL R. ASHCRAFT MD
NPI 1912152125
Surgery in Springfield, IL

Active since December 02, 2008PECOS EnrolledAccepts Medicare Assignment
95.8/100
CMS Quality Rating
900 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2025, Apr 4, 2023, Dec 8, 2021 and 1 more (4 updates tracked since 2016).

About Rachael R. Ashcraft Md NPPES

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

RACHAEL R. ASHCRAFT MD (NPI 1912152125) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (036163981) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (2007).

NPPES Registry Identity

NPI1912152125
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameRACHAEL R. ASHCRAFTCredential: MD
Location Address900 N 1ST STSpringfield, IL 62702-3749
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2007
Enumeration DateDecember 2, 2008
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1912152125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in IL · 036163981 Licensed in IN · 01075454A
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.
900 N 1ST ST, Springfield, IL 62702

Accepted 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

Rachael R. Ashcraft 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 ID1658590302
PECOS Enrollment IDI20251017000539
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 10

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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
144 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services64 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
63 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
63 services63 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
54 services47 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
52 services47 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

95.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.61
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.

Nurse Practitioner (Gerontology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Advanced Practice Midwife
900 N 1ST ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant
900 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
900 N 1ST ST
SPRINGFIELD, IL 62702
Colon & Rectal Surgery
900 N 1ST ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology (Gynecologic Oncology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702

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 Rachael Ashcraft's NPI number?

The NPI number for Rachael Ashcraft is 1912152125. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Rachael Ashcraft located?

Rachael Ashcraft practices at 900 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Rachael Ashcraft's specialty?

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

Is Rachael Ashcraft enrolled in Medicare?

Yes. Rachael Ashcraft 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 Rachael Ashcraft accept?

Health plans from CareSource list Rachael Ashcraft 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 Rachael Ashcraft affiliated with any hospitals?

According to CMS data, Rachael Ashcraft is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Rachael Ashcraft was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.