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DR. MATTHEW E. APICELLA DO
NPI 1215557582
Orthopaedic Surgery in Miami Beach, FL

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 535-7953 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2024, Aug 21, 2023, Jul 18, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Matthew E. Apicella Do NPPES

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

DR. MATTHEW E. APICELLA DO (NPI 1215557582) is an individual orthopaedic surgery provider in Miami Beach, Florida, licensed in New York (331406) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215557582
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW E. APICELLACredential: DO
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing AddressPo Box 100186Gainesville, FL 32610-2948 · (352) 265-5911 · Fax (352) 265-5606
Phone(305) 535-7953
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 16, 2020
Last NPPES UpdateNovember 25, 20244 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1215557582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 331406
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS19841 (FL)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 331406 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4300 ALTON RD, Miami Beach, FL 33140
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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

Dr. Matthew E. Apicella Do 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 ID2668833492
PECOS Enrollment IDI20240918004164
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services64 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.
26 services26 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.
14 services14 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.
13 services11 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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 20

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

ROBERT SCORDATO JR. PA
Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2609
JESSICA EMILIA WAHI
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (304) 545-3095
JEAN CARLOS CORREA PHARMACIST
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
AM RYWLIN MD AND ASSOC PA
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2277
FREDERICK EMERSON HASTY IV
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2742
DR. JUSTIN DANA BURKHOLDER D.O.
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (610) 246-8011
DR. ELIAS ATRI MD
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273
ALEXIS CAMARGO DO
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273

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 Apicella's NPI number?

The NPI number for Matthew Apicella is 1215557582. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Matthew Apicella located?

Matthew Apicella practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 535-7953.

What is Matthew Apicella's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Apicella enrolled in Medicare?

Yes. Matthew Apicella 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 Matthew Apicella affiliated with any hospitals?

According to CMS data, Matthew Apicella is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Matthew Apicella was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.