EVANGELINE A APPIAH M.D
NPI 1306037791
Internal Medicine in West Orange, NJ

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052(973) 867-6565 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evangeline A Appiah M.d NPPES

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

EVANGELINE A APPIAH M.D (NPI 1306037791) is an individual internal medicine provider in West Orange, New Jersey, licensed in New Jersey (25MA08291600) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306037791
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEVANGELINE A APPIAHCredential: M.D
Location Address1199 PLEASANT VALLEY WAYWest Orange, NJ 07052-1424
Mailing Address55 Madison Ave Ste 310Morristown, NJ 07960-7397 · (973) 867-6565
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 9, 2007
Last NPPES UpdateSeptember 11, 2012
NPI 1306037791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA08291600
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA08291600 (NJ)
1199 PLEASANT VALLEY WAY, West Orange, NJ 07052

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

Evangeline A Appiah 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 ID8628130812
PECOS Enrollment IDI20081223000093
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
166 services86 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.
114 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services36 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.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%236 patients5/55-star benchmark: 100%
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.

Speech-Language Pathologist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Speech-Language Pathologist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Occupational Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Registered Nurse
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Occupational Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052

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 Evangeline Appiah's NPI number?

The NPI number for Evangeline Appiah is 1306037791. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Evangeline Appiah located?

Evangeline Appiah practices at 1199 Pleasant Valley Way, West Orange, NJ 07052. The listed phone number is (973) 867-6565.

What is Evangeline Appiah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evangeline Appiah enrolled in Medicare?

Yes. Evangeline Appiah 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.

When was this NPI record last updated?

The NPPES record for Evangeline Appiah was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.