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

Q: 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.

Q: What is James Appelbaum's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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

Phone(913) 596-7286

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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show James Appelbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Healthcare Physician Services - Providence Inc

9.0 mi

General Practice

16663 MIDLAND DR STE 100
Shawnee, KS 66217

Reassigned Medicare billing, Kansas enrollment
128 clinicians in this Medicare group

NPI 1356683213 (913) 631-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

59.12

Promoting Interoperability

Improvement Activities

Cost

61.61

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