MATTHEW AARON APPLEBAUM MD
NPI 1073044178
Plastic Surgery in Gastonia, NC

Q: What is Matthew Applebaum's NPI number?

The NPI number for Matthew Applebaum is 1073044178. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is Matthew Applebaum's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Applebaum was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment

85.36/100

CMS Quality Rating

937 COX RD, GASTONIA, NC 28054(704) 898-8014(704) 898-8018 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2026, Aug 16, 2023, Mar 21, 2017 (3 updates tracked since 2017).

On this page

About Matthew Aaron Applebaum Md NPPES

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

MATTHEW AARON APPLEBAUM MD (NPI 1073044178) is an individual plastic surgery provider in Gastonia, North Carolina, licensed in North Carolina (2023-00072) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains a secondary practice location in Gastonia.

NPPES Registry Identity

NPI1073044178

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameMATTHEW AARON APPLEBAUMCredential: MD

Location Address937 COX RDGastonia, NC 28054-3455

Mailing Address1072 X Ray Dr Ste BGastonia, NC 28054-7488 · (704) 671-1094

Phone(704) 898-8014

Fax(704) 898-8018

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2017

Enumeration DateMarch 21, 2017

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1073044178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NC · 2023-00072

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

937 COX RD, Gastonia, NC 28054

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Secondary Practice Location 1

Location 1959 Cox RdGastonia, NC 28054-3420 · Phone (704) 866-7576 · Fax (704) 866-0106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Matthew Aaron Applebaum 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 ID4082987342

PECOS Enrollment IDI20230206000474

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 Matthew Applebaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Plastic Surgery & Dermatology PA

1.4 mi

Dermatology

1072 X RAY DR STE B
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
46 clinicians in this Medicare group

NPI 1801832837 (704) 671-1094

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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

308 services76 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

187 services126 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

143 services122 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

110 services110 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

109 services90 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

98 services54 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.

85 services67 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

72 services58 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

65 services58 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services33 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

30 services24 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

24 services22 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

23 services18 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

18 services15 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

85.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.34

Promoting Interoperability

Improvement Activities

Cost

68.02

Other Providers at the Same Location NPPES 7

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

GREGORY ALLEN MANTOOTH M.D.

Plastic Surgery

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

DR. ERIC TOMSON EMERSON MD

Surgery (Plastic and Reconstructive Surgery)

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

DR. PARAG BUTALA MD

Plastic Surgery

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

CHARALAMPOS SIOTOS MD, PHD

Plastic Surgery

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

AMY LYNN DOCKERY

Clinic/Center

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

MRS. ANDREA HOWE SPARR PA

Physician Assistant

937 COX RD
GASTONIA, NC 28054

Gaston County (047) 898-8014

WILLIAM LEO FANGMAN MD

Dermatology (MOHS-Micrographic Surgery)

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

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 Matthew Applebaum's NPI number?

The NPI number for Matthew Applebaum is 1073044178. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Matthew Applebaum located?

Matthew Applebaum practices at 937 Cox Rd, Gastonia, NC 28054. The listed phone number is (704) 898-8014.

What is Matthew Applebaum's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Matthew Applebaum enrolled in Medicare?

Yes. Matthew Applebaum 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 organization bills Medicare for Matthew Applebaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Applebaum reassigns Medicare benefits to Piedmont Plastic Surgery & Dermatology PA (Gastonia, NC). The 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 Matthew Applebaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Applebaum accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Matthew Applebaum 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 Matthew Applebaum affiliated with any hospitals?

According to CMS data, Matthew Applebaum is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Applebaum was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.