PAUL MICHAEL APOSTOLO M.D.
NPI 1295776730
Orthopaedic Surgery in Baltimore, MD

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
72.86/100
CMS Quality Rating
3449 WILKENS AVE, SUITE 205, BALTIMORE, MD 21229(410) 368-4851(410) 646-5128 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Michael Apostolo M.d. NPPES

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

PAUL MICHAEL APOSTOLO M.D. (NPI 1295776730) is an individual orthopaedic surgery provider in Baltimore, Maryland, licensed in Maryland (D38326) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Albany Medical College Of Union University (1982).

NPPES Registry Identity

NPI1295776730
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL MICHAEL APOSTOLOCredential: M.D.
Location Address3449 WILKENS AVE, SUITE 205Baltimore, MD 21229-5281
Mailing Address3449 Wilkens Ave Ste 205Baltimore, MD 21229-5217 · (410) 368-4851 · Fax (410) 646-5128
Fax(410) 646-5128
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1982
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
NPI 1295776730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MD · D38326
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 ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License D38326 (MD)
3449 WILKENS AVE, Baltimore, MD 21229

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

Paul Michael Apostolo 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 ID9537127857
PECOS Enrollment IDI20050103000484
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 27

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 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.
347 services224 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.
247 services145 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.
207 services137 patients
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.
175 services147 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.
153 services77 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.
125 services78 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

Other Providers at the Same Location NPPES 12

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

Specialist
3449 WILKENS AVE, SUITE 108
BALTIMORE, MD 21229
Nurse Practitioner (Family)
3449 WILKENS AVE
BALTIMORE, MD 21229
Ophthalmology
3449 WILKENS AVE, SUITE 308
BALTIMORE, MD 21229
Specialist
3449 WILKENS AVE, SUITE 200
BALTIMORE, MD 21229
Nurse Practitioner (Family)
3449 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Specialist
3449 WILKENS AVE, SUITE #205
BALTIMORE, MD 21229
Neurological Surgery
3449 WILKENS AVE
BALTIMORE, MD 21229
Otolaryngology
3449 WILKENS AVE, SUITE 200
BALTIMORE, MD 21229

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 Paul Apostolo's NPI number?

The NPI number for Paul Apostolo is 1295776730. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Paul Apostolo located?

Paul Apostolo practices at 3449 Wilkens Ave Suite 205, Baltimore, MD 21229. The listed phone number is (410) 368-4851.

What is Paul Apostolo's specialty?

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

Is Paul Apostolo enrolled in Medicare?

Yes. Paul Apostolo 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 Paul Apostolo affiliated with any hospitals?

According to CMS data, Paul Apostolo is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Paul Apostolo was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.