GORDON S. APPELBAUM M.D.
NPI 1245200674
Emergency Medicine in Oceanside, CA

Q: What is Gordon Appelbaum's NPI number?

The NPI number for Gordon Appelbaum is 1245200674. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Gordon Appelbaum's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Appelbaum was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 January 26, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

4171 OCEANSIDE BLVD, OCEANSIDE, CA 92056(760) 216-6253 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2024, Nov 16, 2022, May 16, 2022 (3 updates tracked since 2022).

On this page

About Gordon S. Appelbaum M.d. NPPES

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

GORDON S. APPELBAUM M.D. (NPI 1245200674) is an individual emergency medicine provider in Oceanside, California, licensed in California (G069453) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Toledo College Of Medicine (1989).

NPPES Registry Identity

NPI1245200674

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGORDON S. APPELBAUMCredential: M.D.

Location Address4171 OCEANSIDE BLVDOceanside, CA 92056-6023

Mailing Address12615 Kestrel StSan Diego, CA 92129-3540

Phone(760) 216-6253

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1989

Enumeration DateJanuary 26, 2006

Last NPPES UpdateDecember 20, 20243 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1245200674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in CA · G069453✔ Licensed in OH · 35.064031✔ Licensed in HI · MD8036

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4171 OCEANSIDE BLVD, Oceanside, CA 92056

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Secondary Practice Locations 2

Location 14647 Zion AveSan Diego, CA 92120-2507 · Phone (619) 528-5000

Location 241540 Winchester RdTemecula, CA 92590-4877 · Phone (951) 365-5585 · Fax (951) 404-7074

Other Identifiers 1

MedicaidPENDINGOH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, HMSA.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

Gordon S. Appelbaum 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 ID1456342641

PECOS Enrollment IDI20070228000279, I20170511000633

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

Medicare enrollment records show Gordon Appelbaum reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Next Step Medical Inc.

Same address

Urgent Care

4171 OCEANSIDE BLVD. SUITE 109
Oceanside, CA 92056

Reassigned Medicare billing, California enrollment
5 clinicians in this Medicare group

NPI 1164730404 (760) 216-6253

Two Zeds Medical Corporation

19 mi

Urgent Care

3830 VALLEY CENTRE DR, SUITE 702
San Diego, CA 92130

Reassigned Medicare billing, California enrollment
12 clinicians in this Medicare group

NPI 1275909434 (858) 720-0554

Jurkowski Medical Corporation

21 mi

Urgent Care

10605 SCRIPPS POWAY PKWY, SUITE C
San Diego, CA 92131

Reassigned Medicare billing, California enrollment
12 clinicians in this Medicare group

NPI 1750644258 (858) 622-0554

Sharp Rees-Stealy Medical Group, Inc

26 mi

Internal Medicine

5651 COPLEY DR STE A
San Diego, CA 92111

Reassigned Medicare billing, California enrollment
1,233 clinicians in this Medicare group

NPI 1285616177 (858) 262-6666

Alvarado Emergency Medical Associates, Inc.

32 mi

Emergency Medicine

6655 ALVARADO RD
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
62 clinicians in this Medicare group

NPI 1285811992 (424) 241-1546

Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp

180 mi

Emergency Medicine

2215 TRUXTUN AVE
Bakersfield, CA 93301

Reassigned Medicare billing, California enrollment
200 clinicians in this Medicare group

NPI 1386980415 (661) 632-5000

Emergency Physicians Urgent Care Inc.

182 mi

Urgent Care

9710 BRIMHALL RD
Bakersfield, CA 93312

Reassigned Medicare billing, California enrollment
225 clinicians in this Medicare group

NPI 1689963845 (661) 829-6747

Hospitalist Medicine Physicians Of New Mexico - Clovis, LLC

820 mi

Emergency Medicine

4900 N LOVINGTON HWY
Hobbs, NM 88240

Reassigned Medicare billing, New Mexico enrollment
119 clinicians in this Medicare group

NPI 1477031094 (575) 492-5000

Waianae District Comprehensive Health And Hospital Board, Inc

2,615 mi

Clinic/Center

94-428 MOKUOLA ST STE 108B
Waipahu, HI 96797

Reassigned Medicare billing, Hawaii enrollment
Medicare enrollment name: Waianae District Comprehensive Health And Hospital Board Incorporated
240 clinicians in this Medicare group

NPI 1447727318 (808) 697-3888

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 29

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.

382 services277 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.

313 services313 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.

243 services211 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.

162 services162 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

159 services150 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

150 services119 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

107 services93 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

105 services32 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

102 services98 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

73 services71 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

72 services61 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

66 services15 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

57 services57 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

48 services46 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

44 services44 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

37 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

36 services36 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

28 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services26 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

27 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

26 services26 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

22 services22 patients

Diphtheria and tetanus vaccine (7 years or older) 90714

The Diphtheria and Tetanus vaccine is a preventive measure given to individuals aged 7 or older. It helps your body develop immunity to these serious diseases. The vaccine is typically administered as a shot in the arm or thigh. It's a crucial part of maintaining your health.

22 services22 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

17 services14 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services16 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

15 services14 patients

Wound closure utilizing tissue adhesive(s) only G0168

Tissue adhesive is a special glue used to close small wounds, cuts, or incisions. It's applied on the skin surface, helping the wound edges stick together, promoting healing. It's painless, quick, and reduces scarring.

14 services12 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

13 services13 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92056 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

0/100

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

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES

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

DAVID TREFRY

Hearing Instrument Specialist

4171 OCEANSIDE BLVD, STE 108
OCEANSIDE, CA 92056

San Diego County (760) 940-5237

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 Gordon Appelbaum's NPI number?

The NPI number for Gordon Appelbaum is 1245200674. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Gordon Appelbaum located?

Gordon Appelbaum practices at 4171 Oceanside Blvd, Oceanside, CA 92056. The listed phone number is (760) 216-6253.

What is Gordon Appelbaum's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gordon Appelbaum enrolled in Medicare?

Yes. Gordon Appelbaum 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 Gordon Appelbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Appelbaum reassigns Medicare benefits to 9 organizations: Next Step Medical Inc. (Oceanside, CA), Two Zeds Medical Corporation (San Diego, CA), Jurkowski Medical Corporation (San Diego, CA), Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Alvarado Emergency Medical Associates, Inc. (San Diego, CA) and 4 more organizations, listed in the Medicare section above. 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 Gordon Appelbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gordon Appelbaum accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and HMSA list Gordon Appelbaum 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.

When was this NPI record last updated?

The NPPES record for Gordon Appelbaum was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.