ASHLEY N FORD (D.O.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1780038539

ASHLEY N FORD (D.O.) is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. S6835 (TX). The NPI Number for ASHLEY N FORD (D.O.) is 1780038539

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY N FORD (D.O.)
NPI
1780038539
Phone
(208) 535-4343
Address
2635 CHANNING WAY
Enumeration Date
18 April 2016
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085572700
Graduation Year
2016 (10 years ago)
PAC ID
1658660170
Group Practice PAC ID
4486562774
Professional Enrollment ID
I20250828005430
Address ID
ID834047407ID2325XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

64 PHYSICAL MEDICINE AND REHABILITATION in ID

Provider Addresses for ASHLEY N FORD (D.O.)

  • 2635 CHANNING WAY

    IDAHO FALLS, ID 834047518

    Phone: (208) 535-4343

    Type: Mailing

  • 414 W SUNSET RD STE 205

    SAN ANTONIO, TX 782091771

    Phone: (210) 564-8300

    Fax: (210) 564-8399

    Type: Mailing

  • 7703, Floyd Curl Drive, South Texas Medical Center, San Antonio, Bexar County, Texas, 78229, United States

    SAN ANTONIO, TX 782293901

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Baxter Healthcare ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$21
View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250828005430IPhysical Medicine And RehabilitationIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486562774View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)ID
Osteopathic Manipulative MedicineWY
Physical Medicine And RehabilitationID
Nurse PractitionerTX
Nurse PractitionerID
Qualified AudiologistID
Certified Registered Nurse Anesthetist (Crna)TX
Cardiovascular Disease (Cardiology), Internal MedicineID
Nurse PractitionerID

Reviews

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Frequently asked questions

Is ASHLEY N FORD (D.O.) listed with a National Provider Identifier?
Yes — ASHLEY N FORD (D.O.) has NPI 1780038539 on file in the registry.
Active or inactive — what applies to ASHLEY N FORD (D.O.)?
You should see ASHLEY N FORD (D.O.) as active in CMS-hosted NPPES data.
What kind of doctor is ASHLEY N FORD (D.O.)?
ASHLEY N FORD (D.O.) is associated with Sports Medicine (Physical Medicine & Rehabilitation) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ASHLEY N FORD (D.O.) located near Idaho Falls?
ASHLEY N FORD (D.O.) currently maps to Idaho Falls, Idaho in this extract.
When was this NPI issued?
Enumeration for ASHLEY N FORD (D.O.) is noted as April 18, 2016 where the registry provides it.

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