BENJAMIN WALKER APPELO MD
NPI 1063909158
Ophthalmology in Ocean Springs, MS

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
3631 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564(228) 875-2020(228) 875-2036 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, Oct 13, 2023, May 12, 2020 and 1 more (4 updates tracked since 2018).

About Benjamin Walker Appelo Md NPPES

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

BENJAMIN WALKER APPELO MD (NPI 1063909158) is an individual ophthalmology provider in Ocean Springs, Mississippi, licensed in Florida (ME161231) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063909158
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBENJAMIN WALKER APPELOCredential: MD
Location Address3631 BIENVILLE BLVDOcean Springs, MS 39564-5702
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 292-5077 · Fax (210) 292-7868
Fax(228) 875-2036
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1063909158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME161231✔ Licensed in MS · 32386
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 32455 (NE)
3631 BIENVILLE BLVD, Ocean Springs, MS 39564

Secondary Practice Locations 3

Location 1421 Delmas AvePascagoula, MS 39567-4129 · Phone (228) 769-2001 · Fax (228) 875-2036
Location 21350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1401 · Fax (321) 434-1667
Location 3San Antonio Mil Med Center 3551 Roger Brooke Dr, MCHE-ZDM-MSan Antonio, TX 78234 · Phone (210) 292-5077 · Fax (210) 292-7868

Other Identifiers 3

OtherXM550FL · Hfmg
OtherXM560FL · Hfps
Medicaid127343700FL

Accepted 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

Benjamin Walker Appelo 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 ID345606372
PECOS Enrollment IDI20230518000052, I20231031002470
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 Reassignments

4

Medicare enrollment records show Benjamin Appelo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
3631 BIENVILLE BLVD
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
Anesthesiology
1002 N ARNOLD RD
Panama City Beach, FL 32413
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
Orthopaedic Trauma
1350 HICKORY ST
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group

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 6

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
75 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services63 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
50 services50 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
48 services47 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.
29 services28 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Pediatrics
3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Nurse Practitioner (Family)
3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Ophthalmology
3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Pediatrics
3631 BIENVILLE BLVD, SUITE A
OCEAN SPRINGS, MS 39564
Pediatrics
3631 BIENVILLE BLVD, SUITE A
OCEAN SPRINGS, MS 39564
Ophthalmology
3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Ophthalmology
3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

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 Benjamin Appelo's NPI number?

The NPI number for Benjamin Appelo is 1063909158. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Benjamin Appelo located?

Benjamin Appelo practices at 3631 Bienville Blvd, Ocean Springs, MS 39564. The listed phone number is (228) 875-2020.

What is Benjamin Appelo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Benjamin Appelo enrolled in Medicare?

Yes. Benjamin Appelo 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.

Which organizations bill Medicare for Benjamin Appelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Appelo reassigns Medicare benefits to 4 organizations: Mississippi Eye Associates (Ocean Springs, MS), Tallahassee Memorial Healthcare Inc (Panama City Beach, FL), Health First Medical Group, LLC (Melbourne, FL) and Health First Physician Specialties Inc (Melbourne, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Appelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Appelo accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 10 other insurers list Benjamin Appelo 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 Benjamin Appelo affiliated with any hospitals?

According to CMS data, Benjamin Appelo is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Appelo was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.