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Shane D Ashbaugh, PA

Physician Assistant · Fremont

NPI 1821635467

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
2 carriers
Offices
3
Since medical school
6 years
Graduated 2020

Offices

3 locations · Washington Township Medical Foundation · 125 clinicians in this group

Looking this up.

Hospitals listed: Washington Hospital. That is not proof they admit you there this week.

Plans that list them

4 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Shane D Ashbaugh’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

4 of 4 plans

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Washington HospitalFremont, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Washington Hospital Healthcare SystemPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.188, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.164, Oct 2024 – Sep 2025
See every measure and the patient survey for Washington Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 6 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Washington Hospital
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.188BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.164BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.88 (0 to 1.88) · 1,112 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.59 to 1.24)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.95 (139.54 to 246.36) · 48 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.4 · 164 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.1 · 199 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 463 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 661 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.3 · 174 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 2,550 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.15 (0 to 0.35) · 6,970 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,108 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.82 (1.73 to 5.91) · 1,370 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.52 (0 to 3.17) · 589 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.75 (0.25 to 3.25) · 1,315 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths13.19 (5.83 to 20.56) · 600 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.91 (1.04 to 8.78) · 550 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.66 (0.17 to 3.14) · 198 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.14 (0 to 0.78) · 6,079 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.7 · 114 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.367No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.8 · 186 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.9 · 480 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits33.9 · 186 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits26.5 · 553 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits36.8 · 648 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.5 · 590 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.7 (3.2 to 6.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.5 to 14.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 130 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.1 · 41 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 202 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.7 (10.2 to 18.5) · 78 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 974 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 19% of those asked)

Patient survey stars by topic at Washington Hospital
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Washington Hospital
Room was "always" clean76%
Nurses "always" communicated well77%
Doctors "always" communicated well77%
Staff "always" explained56%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night46%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms84%

Original Medicare doctor bills

$24,917

Medicare paid this office $24,917 for 106 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)51$5,208$69
Aspiration and/or injection of fluid from large joint32$4,349$60
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose18$3,459None
Replacement of knee joint, both sides of knee16$2,619$154
Return visit (30+ min)18$1,895$95
See all 9 services
Every Original Medicare service billed
Short return visit (20+ min)51$5,208$69
Aspiration and/or injection of fluid from large joint32$4,349$60
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose18$3,459None
Replacement of knee joint, both sides of knee16$2,619$154
Return visit (30+ min)18$1,895$95
X-ray of knee, 4 or more views13$735$25
X-ray of shoulder, minimum of 2 views16$717$18
X-ray of knee, 3 views14$554$21
Injection, triamcinolone acetonide, not otherwise specified, 10 mg19$107None

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement29More than 63% of doctors who do this
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10None
Upper limb (arm) arthroscopy (minimally invasive joint repair)14More than 53% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure20202021202220232024
Aspiration and/or injection of fluid from large joint–49507472
Replacement of knee joint, both sides of knee–15181517

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

106 Original Medicare patients in 2024. Average age 76 · Women 68% · Also on Medicaid 27% · Health risk score 1.03. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 75% · Diabetes 34% · Coronary heart disease 34% · Chronic kidney disease 23% · Heart failure 20% · Depression 18% · Cancer 16% · Atrial fibrillation 12% · COPD 10%.

The office billed $100,301, Medicare allowed $32,379 and paid $24,917; for 586 services of 30 kinds; $3,567 of it was for drugs given in the office and $21,350 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024106586761.03$100,301$24,917
2023165674750.91$108,958$30,413
2022150453751.07$91,159$25,712
2021199687761.15$134,320$44,649
20203978751.16$13,684$4,557

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 10 services

Original Medicare services billed in 2023
Short return visit (20+ min)68$5,767$69
Aspiration and/or injection of fluid from large joint40$4,472$60
New patient visit (30+ min)47$4,139$88
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose24$4,113None
Replacement of knee joint, both sides of knee15$2,211$147
Return visit (30+ min)16$1,646$91
X-ray of knee, 4 or more views18$1,195$24
X-ray of knee, 3 views16$712$20
X-ray of shoulder, minimum of 2 views12$523$16
Injection, triamcinolone acetonide, not otherwise specified, 10 mg18$97None

2022: 9 services

Original Medicare services billed in 2022
Return visit (30+ min)45$4,935$93
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose19$3,363None
Aspiration and/or injection of fluid from large joint30$2,984$60
Replacement of knee joint, both sides of knee17$2,675$149
Short return visit (20+ min)31$2,496$67
Long return visit (40+ min)20$2,257$113
New patient visit (30+ min)19$1,510$79
X-ray of knee, 3 views12$608$22
X-ray of knee, 4 or more views11$524$29

2021: 13 services

Original Medicare services billed in 2021
Return visit (30+ min)71$8,595$94
Long return visit (40+ min)42$7,241$137
New patient visit (45+ min)29$3,541$122
Short return visit (20+ min)43$3,516$70
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose11$3,024None
Aspiration and/or injection of fluid from large joint25$2,694$55
Replacement of knee joint, both sides of knee14$2,391$159
New patient visit (30+ min)27$2,344$87
Telephone medical discussion with physician, 11-20 minutes25$1,920$69
Telephone medical discussion with physician, 21-30 minutes11$1,669$104
X-ray of knee, 3 views19$882$25
X-ray of shoulder, minimum of 2 views17$774$22
Injection, triamcinolone acetonide, not otherwise specified, 10 mg16$86None

2020: 1 service

Original Medicare services billed in 2020
New patient visit (30+ min)13$1,132$87

Drugs they prescribed that Part D paid

$4,349

Pharmacies billed $4,349 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 23% of their Part D prescriptions (99 of 438) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%.

437 generic and fewer than 11 brand-name prescriptions · $4,349 in drug cost · 67 antibiotic prescriptions to 39 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Celecoxib39$993$25
Ondansetron Odt80$695$9
Hydrocodone-Acetaminophen69$674$10
Gabapentin67$673$10
Pantoprazole33$311$9
See all 10 drugs
Every Part D drug this clinician prescribed
Celecoxib39$993$25
Ondansetron Odt80$695$9
Hydrocodone-Acetaminophen69$674$10
Gabapentin67$673$10
Pantoprazole33$311$9
Cephalexin24$186$8
Oxycodone-Acetaminophen12$104$9
Meloxicam23$62$3
Amoxicillin33$50$2
Tramadol14$37$3

Year by year

Part D prescribing by year
202443812023% (99)None$4,349
202341713015% (63)0%$7,947
202237312018% (68)None$10,127
202140512420% (79)None$8,889
2020722824% (17)None$1,626

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 11 drugs

Part D drugs prescribed in 2023
Gabapentin102$2,170$21
Diclofenac31$2,138$69
Celecoxib38$783$21
Duloxetine14$664$47
Hydrocodone-Acetaminophen42$452$11
Ondansetron Odt42$395$9
Cephalexin17$313$18
Pantoprazole18$174$10
Oxycodone-Acetaminophen15$87$6
Meloxicam24$66$3
Amoxicillin15$20$1

2022: 11 drugs

Part D drugs prescribed in 2022
Gabapentin102$2,505$25
Duloxetine33$2,323$70
Pregabalin25$2,170$87
Diclofenac27$1,257$47
Hydrocodone-Acetaminophen46$534$12
Ondansetron Odt40$430$11
Celecoxib11$245$22
Pantoprazole16$203$13
Oxycodone16$116$7
Cephalexin11$88$8
Amoxicillin19$19$1

2021: 8 drugs

Part D drugs prescribed in 2021
Gabapentin115$2,907$25
Pregabalin29$1,883$65
Diclofenac32$1,095$34
Duloxetine40$864$22
Hydrocodone-Acetaminophen41$667$16
Ondansetron Odt38$431$11
Oxycodone32$257$8
Cephalexin12$73$6

2020: 1 drug

Part D drugs prescribed in 2020
Gabapentin14$208$15

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
86.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1821635467
Licence
CA 58356
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Physician assistant, surgical (363AS0400X); Federal specialty code 246ZC0007X (246ZC0007X); Federal specialty code 246ZX2200X (246ZX2200X)
Mailing address
38690 Stivers St Ste A, Fremont, CA, 94536
NPI first listed
2019-12-03
NPI last updated
2020-07-29
NPI record certified
2020-07-29

This is when the NPI record was last certified, not a medical board exam.