DR. PETER LEE APICELLA M.D.
NPI 1265515431
Radiology - Diagnostic Radiology in Salem, OH

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
78.35/100
CMS Quality Rating
1995 E STATE ST, MEDICAL IMAGING DEPT., SALEM, OH 44460(330) 337-6140(330) 337-1071 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter Lee Apicella M.d. NPPES

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

DR. PETER LEE APICELLA M.D. (NPI 1265515431) is an individual diagnostic radiology provider in Salem, Ohio, licensed in Ohio (35-06-4522) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1265515431
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PETER LEE APICELLACredential: M.D.
Location Address1995 E STATE ST, MEDICAL IMAGING DEPT.Salem, OH 44460-2423
Mailing Address2094 E State St, Suite ESalem, OH 44460-4409 · (330) 337-6140 · Fax (330) 337-1071
Fax(330) 337-1071
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1990
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265515431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OH · 35-06-4522
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1995 E STATE ST, Salem, OH 44460

Other Identifiers 5

Other300045638OH · Railroad Provider Number
Medicaid0312825OH
Medicare UPINF53965OH
Other3410390721215OH · Anthem
Medicare ID-Type UnspecifiedAP0735701OH

Accepted Insurance

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. Peter Lee Apicella 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 ID1759485337
PECOS Enrollment IDI20090428000389
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 91

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
607 services607 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
597 services391 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
595 services595 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
385 services241 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.
329 services275 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
273 services245 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

East Liverpool City Hospital

Acute Care Hospitals · East Liverpool, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360096
Location425 West 5th StreetEast Liverpool, OH 43920 · Columbiana County
Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44460 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost51.73

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
99%112 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

General Acute Care Hospital
1995 E STATE ST
SALEM, OH 44460
Internal Medicine
1995 E STATE ST
SALEM, OH 44460
Nurse Practitioner
1995 E STATE ST
SALEM, OH 44460
Emergency Medicine
1995 E STATE ST
SALEM, OH 44460
Counselor (Mental Health)
1995 E STATE ST
SALEM, OH 44460
Emergency Medicine
1995 E STATE ST
SALEM, OH 44460
General Practice
1995 E STATE ST
SALEM, OH 44460
Internal Medicine
1995 E STATE ST
SALEM, OH 44460

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 Peter Apicella's NPI number?

The NPI number for Peter Apicella is 1265515431. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Peter Apicella located?

Peter Apicella practices at 1995 E State St Medical Imaging Dept., Salem, OH 44460. The listed phone number is (330) 337-6140.

What is Peter Apicella's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Peter Apicella enrolled in Medicare?

Yes. Peter 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.

What insurance does Peter Apicella accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Peter Apicella 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 Peter Apicella affiliated with any hospitals?

According to CMS data, Peter Apicella is affiliated with St Elizabeth Youngstown Hospital, East Liverpool City Hospital, Salem Regional Medical Center, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Peter Apicella was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.