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

Q: 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.

Q: What is Paul Apostolo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Apostolo was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

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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

Phone(410) 368-4851

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

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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

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Apostolo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Agnes Healthcare Inc

0.1 mi

Diagnostic Radiology

3449 WILKENS AVE, SUITE 102
Baltimore, MD 21229

Reassigned Medicare billing, Maryland enrollment
372 clinicians in this Medicare group

NPI 1780615922 (667) 234-8675

Lifebridge Community Physicians Inc

1.8 mi

Psychiatry

2000 W BALTIMORE ST
Baltimore, MD 21223

Reassigned Medicare billing, Maryland enrollment
317 clinicians in this Medicare group

NPI 1215685441 (410) 362-3000

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 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

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

121 services75 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.

99 services99 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.

75 services75 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

54 services43 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

52 services45 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

34 services27 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

34 services25 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

30 services25 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

26 services23 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

18 services18 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

18 services17 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

18 services17 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

16 services14 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

16 services15 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

16 services16 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

16 services15 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

15 services14 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

13 services13 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

13 services12 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

12 services11 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

11 services11 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

Quality

60.18

Promoting Interoperability

Improvement Activities

Cost

48.84

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.

ADOLFO M ALONSO MD PA

Specialist

3449 WILKENS AVE, SUITE 108
BALTIMORE, MD 21229

Baltimore City (410) 644-5400

TRACEY WORSLEY FNP

Nurse Practitioner (Family)

3449 WILKENS AVE
BALTIMORE, MD 21229

Baltimore City (410) 525-3818

DR. SHARON C GROSS IV M.D.

Ophthalmology

3449 WILKENS AVE, SUITE 308
BALTIMORE, MD 21229

Baltimore City (410) 644-7544

HOWARD S HESSAN M D P A

Specialist

3449 WILKENS AVE, SUITE 200
BALTIMORE, MD 21229

Baltimore City (410) 525-3818

RACHEL ELIZABETH HEIBEIN NP-C

Nurse Practitioner (Family)

3449 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229

Baltimore City (410) 747-4080

PAUL M. APOSTOLO MD.PA

Specialist

3449 WILKENS AVE, SUITE #205
BALTIMORE, MD 21229

Baltimore City (410) 368-4851

DR. EDWARD DONALD LAYNE MD

Neurological Surgery

3449 WILKENS AVE
BALTIMORE, MD 21229

Baltimore City (410) 646-9440

DR. ENZO COSENTINO M.D.

Otolaryngology

3449 WILKENS AVE, SUITE 200
BALTIMORE, MD 21229

Baltimore City (410) 646-2323

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.

Which organizations bill Medicare for Paul Apostolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Apostolo reassigns Medicare benefits to 2 organizations: St Agnes Healthcare Inc (Baltimore, MD) and Lifebridge Community Physicians Inc (Baltimore, MD). 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 Paul Apostolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.