DR. THOMAS E APPLEGATE M.D.
NPI 1023109261
Family Medicine in Brainerd, MN

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since September 27, 2006PECOS Enrolled

523 N 3RD ST, BRAINERD, MN 56401(218) 828-2861 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 31, 2024, Mar 7, 2023, Aug 15, 2022 (3 updates tracked since 2022).

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About Dr. Thomas E Applegate M.d. NPPES

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

DR. THOMAS E APPLEGATE M.D. (NPI 1023109261) is an individual family medicine provider in Brainerd, Minnesota, licensed in Minnesota (43598) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Riverview.

NPPES Registry Identity

NPI1023109261

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS E APPLEGATECredential: M.D.

Location Address523 N 3RD STBrainerd, MN 56401-3054

Mailing Address523 N 3rd StBrainerd, MN 56401-3054 · (218) 828-2861

Phone(218) 828-2861

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1023109261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 43598✔ Licensed in WY · 7207A✔ Licensed in FL · ME122990

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

523 N 3RD ST, Brainerd, MN 56401

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Secondary Practice Location 1

Location 16901 Simmons Loop Fl 4Riverview, FL 33578-9498 · Phone (813) 302-8388 · Fax (813) 302-8453

Other Identifiers 4

Other7207AWY · Wyoming Medical License

Other53D1045098WY · Clia

Medicaid122039000WY

OtherW20539WY · Medicare Group Id Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas E Applegate M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

164 services62 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

35 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services24 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TODD M GREATENS MD

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