ASHLEY MARIE MULDER (MD) – Family Medicine Physician, NPI 1104455989
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,259 FAMILY PRACTICE in AZ
Provider Addresses for ASHLEY MARIE MULDER (MD)
7931 N PYRACANTHA PL
TUCSON, AZ 857411336
Phone: (520) 490-6321
Type: Mailing
2000 W BETHANY HOME RD
PHOENIX, AZ 850152443
Phone: (520) 490-6321
Type: Location
2035 MESQUITE AVE
LAKE HAVASU CITY, AZ 864035894
Phone: (928) 208-4598
Fax: (888) 571-6436
Type: Mailing
2000 W BETHANY HOME RD STE 200
PHOENIX, AZ 850152443
Phone: (520) 490-6321
Fax: (602) 433-6686
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $410.
Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).
Total Amount
$410
General + Research + Ownership
Payments
16
Total payment records
General Amount
$410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $125 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $86 |
| Amgen Inc. | $75 |
| Corcept Therapeutics | $68 |
| Lilly USA, LLC | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230621001827 | I | Family Practice | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | 172 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 117 | 117 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 75 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 32 | $0 |
| 81002 | Urinalysis, manual test | 16 | 13 | $0 |
Insurance plans in this area (ZIP 85741)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Internal Medicine | FL | |
| Physician Assistant | TX | |
| Nurse Practitioner | AZ |
Reviews
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