ALAN J APPLEY M.D.
NPI 1306891320
Neurological Surgery in Lafayette, LA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
155 HOSPITAL DR, SUITE 100, LAFAYETTE, LA 70503(337) 235-7743(337) 235-7614 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alan J Appley M.d. NPPES

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

ALAN J APPLEY M.D. (NPI 1306891320) is an individual neurological surgery provider in Lafayette, Louisiana, licensed in Louisiana (13835R) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Tulane University School Of Medicine (1983).

NPPES Registry Identity

NPI1306891320
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameALAN J APPLEYCredential: M.D.
Location Address155 HOSPITAL DR, SUITE 100Lafayette, LA 70503-2852
Mailing Address155 Hospital Dr, Suite 100Lafayette, LA 70503-2852 · (337) 235-7743 · Fax (337) 235-7614
Fax(337) 235-7614
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1983
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 9, 2014
NPI 1306891320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in LA · 13835R
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
155 HOSPITAL DR, Lafayette, LA 70503

Other Identifiers 3

Medicaid1181366LA
Medicare UPINE35268LA
Medicare ID-Type Unspecified4A454LA

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

Alan J Appley 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 ID2062303217
PECOS Enrollment IDI20040324001419
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.

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.
51 services50 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.
38 services33 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.
33 services29 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.
22 services18 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier22 claims26 services$55.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
155 HOSPITAL DR, SUITE 201
LAFAYETTE, LA 70503
Internal Medicine (Pulmonary Disease)
155 HOSPITAL DR, STE 206
LAFAYETTE, LA 70503
Clinical Medical Laboratory
155 HOSPITAL DR, SUITE 201
LAFAYETTE, LA 70503
Neurological Surgery
155 HOSPITAL DR
LAFAYETTE, LA 70503
Internal Medicine
155 HOSPITAL DR, SUITE 301
LAFAYETTE, LA 70503
Obstetrics & Gynecology
155 HOSPITAL DR, SUITE 400
LAFAYETTE, LA 70503
Nurse Practitioner
155 HOSPITAL DR
LAFAYETTE, LA 70503
Internal Medicine (Pulmonary Disease)
155 HOSPITAL DR, STE 206
LAFAYETTE, LA 70503

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 Alan Appley's NPI number?

The NPI number for Alan Appley is 1306891320. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Alan Appley located?

Alan Appley practices at 155 Hospital Dr Suite 100, Lafayette, LA 70503. The listed phone number is (337) 235-7743.

What is Alan Appley's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Alan Appley enrolled in Medicare?

Yes. Alan Appley 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 Alan Appley accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Alan Appley 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 Alan Appley affiliated with any hospitals?

According to CMS data, Alan Appley is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Alan Appley was last updated on May 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.