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GARRICK A APPLEBEE M.D.
NPI 1114934080
Pediatrics - Sleep Medicine in Burlington, VT

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
UHC CAMPUS, 1 SOUTH PROSPECT STREET, BURLINGTON, VT 05401(802) 847-5338 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2022, Nov 22, 2019, Nov 10, 2016 (3 updates tracked since 2016).

About Garrick A Applebee M.d. NPPES

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

GARRICK A APPLEBEE M.D. (NPI 1114934080) is an individual sleep medicine provider in Burlington, Vermont, licensed in Vermont (042-0010926) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114934080
Entity TypeIndividualMale
Primary Taxonomy2080S0012X
Provider Legal NameGARRICK A APPLEBEECredential: M.D.
Location AddressUHC CAMPUS, 1 SOUTH PROSPECT STREETBurlington, VT 05401-3456
Mailing AddressPo Box 14890, Sphp Payer CredentialingAlbany, NY 12212 · (518) 591-1121 · Fax (518) 649-4094
Phone(802) 847-5338
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2002
Enumeration DateAugust 2, 2006
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1114934080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0012X
License✔ Licensed in VT · 042-0010926
Definition

A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License 281927 (NY)
UHC CAMPUS, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1FAHC MCHV Campus, Patrick 5, CNLBurlington, VT 05401 · Phone (802) 847-5338
Location 21 S Prospect StBurlington, VT 05401-3456 · Phone (802) 847-0379

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

Garrick A Applebee M.d. 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 ID547299026
PECOS Enrollment IDI20161109000732
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 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 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.
211 services178 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
73 services72 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.
38 services38 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.
38 services37 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
19 services19 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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
8 suppliers122 claims122 services$34.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers140 claims140 services$77.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers135 claims375 services$29.44 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers127 claims695 services$15.79 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers94 claims529 services$12.84 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
13 suppliers246 claims247 services$45.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Garrick Applebee's NPI number?

The NPI number for Garrick Applebee is 1114934080. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Garrick Applebee located?

Garrick Applebee practices at Uhc Campus 1 South Prospect Street, Burlington, VT 05401. The listed phone number is (802) 847-5338.

What is Garrick Applebee's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Is Garrick Applebee enrolled in Medicare?

Yes. Garrick Applebee 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.

Is Garrick Applebee affiliated with any hospitals?

According to CMS data, Garrick Applebee is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Garrick Applebee was last updated on January 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.