Active NPI 1265414270 Individual Practitioner Male Practitioner

Dr. Thomas J Ashley , MD

Ophthalmology • Topeka, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Ashley, MD is a certified Ophthalmology practicing in Topeka, KS. With approximately 42 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1984, Dr. Ashley delivers high-quality medical care to the local community at 1616 SW 8TH AVE.

Dr. Ashley accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient problem focused exam of visual system, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1616 Sw 8th Ave

Topeka, KS 666061634

Telephone 7852332280

Fax 7852336918

Associated Practice Facility / Clinic

🏢 Ophthalmology Pa Facility NPI 1841265428

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Topeka, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +9.9 yrs vs City Avg

City Avg: 32.1 Yrs

State Avg: 28.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Topeka, KS (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ashley (42 Years) 42 Yrs

Topeka Specialty Average (32.1 Years) 32.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	299	211	$110.00	$83.63
92012 Established patient problem focused exam of visual system	102	100	$125.00	$80.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$155.00	$100.62
76519 Ultrasound of eye for determination of lens power	58	42	$106.38	$47.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	51	$160.00	$116.19
66984 Removal of cataract with insertion of lens	53	37	$1600.00	$455.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$65.94	$51.93
92083 Exam of visual field with extended testing	28	27	$115.00	$55.60
92014 Established patient complete exam of visual system	26	26	$160.00	$115.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$197.50	$154.57
66821 Removal of recurring cataract in lens capsule using a laser	21	20	$440.00	$287.77
92004 New patient complete exam of visual system	15	15	$195.00	$137.37
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$120.00	$75.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	174	$110.00	$83.51
92012 Established patient problem focused exam of visual system	176	175	$125.00	$82.51
76519 Ultrasound of eye for determination of lens power	71	54	$96.62	$47.59
66984 Removal of cataract with insertion of lens	69	51	$1600.00	$471.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	61	$160.00	$119.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$150.00	$103.64
92083 Exam of visual field with extended testing	35	35	$115.00	$56.02
92014 Established patient complete exam of visual system	25	25	$160.00	$117.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$185.00	$155.01
66821 Removal of recurring cataract in lens capsule using a laser	18	18	$417.22	$291.76
92002 New patient problem focused exam of visual system	13	13	$125.00	$79.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$65.00	$52.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	241	219	$125.00	$83.64
99213 Established patient office or other outpatient visit, typically 15 minutes	229	158	$110.00	$84.26
76519 Ultrasound of eye for determination of lens power	87	60	$98.10	$48.66
66984 Removal of cataract with insertion of lens	78	54	$1600.00	$463.98
92014 Established patient complete exam of visual system	73	72	$160.00	$118.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$150.00	$105.10
92083 Exam of visual field with extended testing	41	40	$115.00	$57.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	27	$65.00	$51.57
92002 New patient problem focused exam of visual system	30	30	$125.00	$78.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$160.00	$116.41
92004 New patient complete exam of visual system	20	20	$185.00	$141.69
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$357.89	$284.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	259	240	$125.00	$85.02
99213 Established patient office or other outpatient visit, typically 15 minutes	219	164	$110.00	$85.97
76519 Ultrasound of eye for determination of lens power	74	57	$88.31	$49.53
66984 Removal of cataract with insertion of lens	70	52	$1600.00	$483.70
92014 Established patient complete exam of visual system	54	54	$160.46	$120.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	47	$65.00	$51.02
92083 Exam of visual field with extended testing	35	34	$101.29	$59.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$145.29	$103.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$160.00	$123.09
92002 New patient problem focused exam of visual system	31	31	$125.00	$81.72
66821 Removal of recurring cataract in lens capsule using a laser	18	18	$381.67	$293.17
92004 New patient complete exam of visual system	12	12	$185.00	$143.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	279	236	$123.92	$84.06
99213 Established patient office or other outpatient visit, typically 15 minutes	99	82	$109.49	$71.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	57	$64.44	$42.48
76519 Ultrasound of eye for determination of lens power	57	46	$87.63	$49.35
66984 Removal of cataract with insertion of lens	55	42	$1600.00	$496.52
92014 Established patient complete exam of visual system	55	55	$159.27	$120.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$130.14	$101.13
92083 Exam of visual field with extended testing	29	28	$92.76	$59.76
92004 New patient complete exam of visual system	22	22	$177.73	$143.97
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$359.21	$272.96
92002 New patient problem focused exam of visual system	16	16	$125.00	$80.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$160.00	$103.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	312	257	$110.00	$83.14
99213 Established patient office or other outpatient visit, typically 15 minutes	96	80	$100.00	$69.10
66984 Removal of cataract with insertion of lens	80	59	$1600.00	$543.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	61	$65.00	$42.26
76519 Ultrasound of eye for determination of lens power	73	61	$90.96	$48.23
92014 Established patient complete exam of visual system	48	48	$150.00	$119.59
92083 Exam of visual field with extended testing	35	35	$90.00	$60.11
92002 New patient problem focused exam of visual system	35	35	$125.00	$79.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$120.00	$99.48
66821 Removal of recurring cataract in lens capsule using a laser	31	31	$388.71	$304.94
92004 New patient complete exam of visual system	20	20	$175.00	$143.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$150.00	$102.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	388	320	$103.22	$78.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	82	$57.62	$38.89
99213 Established patient office or other outpatient visit, typically 15 minutes	71	60	$94.23	$64.75
76519 Ultrasound of eye for determination of lens power	54	48	$87.69	$53.42
66984 Removal of cataract with insertion of lens	51	45	$1600.00	$550.14
92014 Established patient complete exam of visual system	41	41	$138.41	$112.34
92083 Exam of visual field with extended testing	31	30	$86.77	$57.10
66821 Removal of recurring cataract in lens capsule using a laser	30	27	$319.17	$265.46
92002 New patient problem focused exam of visual system	28	28	$118.93	$75.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$113.93	$93.89
92004 New patient complete exam of visual system	13	13	$161.54	$135.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	385	298	$100.00	$75.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	71	$55.14	$38.12
76519 Ultrasound of eye for determination of lens power	110	80	$81.82	$56.91
66984 Removal of cataract with insertion of lens	104	78	$1600.00	$530.02
99213 Established patient office or other outpatient visit, typically 15 minutes	66	60	$90.30	$64.40
92002 New patient problem focused exam of visual system	38	38	$115.00	$71.50
92014 Established patient complete exam of visual system	36	35	$125.00	$109.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$110.00	$94.81
92083 Exam of visual field with extended testing	28	28	$85.00	$56.02
66821 Removal of recurring cataract in lens capsule using a laser	26	26	$334.62	$261.79
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$70.00	$62.89
92004 New patient complete exam of visual system	12	12	$150.00	$130.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$135.00	$94.83

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KS 04-22142

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100208090A (KS)

Commercial Insurance / Payer ID Bcbs

018243 (KS)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2013

Registered at 1616 SW 8TH AVE, TOPEKA, KS 666061634 (Tel: 7852332280)

📍

Updated Business Mailing Address September 10, 2013

Registered at 1616 SW 8TH AVE, TOPEKA, KS 666061634 (Tel: 7852332280)

👤

Provider Name / Credentials Updated September 10, 2013

Recorded as THOMAS ASHLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2013

Ophthalmology (License #04-22142 in KS)

🟢

Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265414270

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2005

Last Update: September 10, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1616 Sw 8th Ave

Topeka, KS 666061634

Phone: 7852332280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.