JAMES S APPELBAUM MD
NPI 1063426369
Psychiatry & Neurology - Neurology in Kansas City, KS

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
75.97/100
CMS Quality Rating
8919 PARALLEL PKWY, SUITE 440, KANSAS CITY, KS 66112(913) 596-7286(913) 596-7248 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Nov 12, 2020, Oct 22, 2020 and 2 more (5 updates tracked since 2016).

About James S Appelbaum Md NPPES

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

JAMES S APPELBAUM MD (NPI 1063426369) is an individual neurology provider in Kansas City, Kansas, licensed in Kansas (0424788) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint John Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063426369
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES S APPELBAUMCredential: MD
Location Address8919 PARALLEL PKWY, SUITE 440Kansas City, KS 66112-1636
Mailing Address8919 Parallel Pkwy Ste 440Kansas City, KS 66112-1655 · (913) 596-7286 · Fax (913) 596-7248
Fax(913) 596-7248
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1986
Enumeration DateJuly 29, 2006
Last NPPES UpdateDecember 3, 20215 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
NPI 1063426369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in KS · 0424788
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 0424788 (KS)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 0424788 (KS)
8919 PARALLEL PKWY, Kansas City, KS 66112

Secondary Practice Locations 3

Location 13550 S 4th St, Ste 115Leavenworth, KS 66048 · Phone (913) 596-7286 · Fax (913) 596-7248
Location 27255 Renner RdShawnee, KS 66217 · Phone (913) 596-7286 · Fax (913) 596-7248
Location 320333 W 151st StOlathe, KS 66061-5350 · Phone (913) 791-4309 · Fax (913) 791-4438

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James S Appelbaum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971630070
PECOS Enrollment IDI20100513000493
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
229 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services121 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.
126 services123 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
71 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
Nerve conduction, 3-4 studies 95908
Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint John Hospital

Acute Care Hospitals · Leavenworth, KS
OwnershipVoluntary non-profit - Other
CMS Certification Number170009
Location3500 South 4th StreetLeavenworth, KS 66048 · Leavenworth County
Emergency services

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Providence Medical Center

Acute Care Hospitals · Kansas City, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170146
Location8929 Parallel ParkwayKansas City, KS 66112 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66112 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.12
Promoting Interoperability99
Improvement Activities40
Cost61.61

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$32.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers17 claims17 services$78.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers16 claims45 services$29.74 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers15 claims84 services$17.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers19 claims19 services$50.56 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers20 claims20 services$16.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Cardiovascular Disease)
8919 PARALLEL PKWY, SUITE 580
KANSAS CITY, KS 66112
Dentist (General Practice)
8919 PARALLEL PKWY, STE 309
KANSAS CITY, KS 66112
Dentist
8919 PARALLEL PKWY, SUITE 219
KANSAS CITY, KS 66112
Specialist/Technologist (Athletic Trainer)
8919 PARALLEL PKWY, STE 270
KANSAS CITY, KS 66112
Durable Medical Equipment & Medical Supplies
8919 PARALLEL PKWY, SUITE 550
KANSAS CITY, KS 66112
Optometrist
8919 PARALLEL PKWY, STE 226
KANSAS CITY, KS 66112
Family Medicine
8919 PARALLEL PKWY, SUITE 331
KANSAS CITY, KS 66112
Physical Medicine & Rehabilitation
8919 PARALLEL PKWY, SUITE 270
KANSAS CITY, KS 66112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Appelbaum's NPI number?

The NPI number for James Appelbaum is 1063426369. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is James Appelbaum located?

James Appelbaum practices at 8919 Parallel Pkwy Suite 440, Kansas City, KS 66112. The listed phone number is (913) 596-7286.

What is James Appelbaum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Appelbaum enrolled in Medicare?

Yes. James Appelbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Appelbaum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list James Appelbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Appelbaum affiliated with any hospitals?

According to CMS data, James Appelbaum is affiliated with Saint John Hospital, Adventhealth Shawnee Mission and Providence Medical Center.

When was this NPI record last updated?

The NPPES record for James Appelbaum was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.