DR. GERALD BERNARD APPEL M.D.
NPI 1306918651
Internal Medicine - Nephrology in New York, NY

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST, NEW YORK, NY 10032(212) 305-3273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerald Bernard Appel M.d. NPPES

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

DR. GERALD BERNARD APPEL M.D. (NPI 1306918651) is an individual nephrology provider in New York, New York, licensed in New York (117207) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1972).

NPPES Registry Identity

NPI1306918651
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. GERALD BERNARD APPELCredential: M.D.
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address630 W 168th St # 4, Vc 12th Floor, Suite 208New York, NY 10032-3725
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1972
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306918651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 117207
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
622 W 168TH ST, New York, NY 10032

Other Identifiers 3

Medicare UPINC08838NY
Medicaid00314961NY
Medicare ID-Type Unspecified342001NY

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. Gerald Bernard Appel 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 ID1052443397
PECOS Enrollment IDI20100721000860
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
239 services122 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers17 claims450 services$0.34 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims1,380 services$2.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers15 claims15 services$19.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers23 claims23 services$12.60 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.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

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 Gerald Appel's NPI number?

The NPI number for Gerald Appel is 1306918651. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Gerald Appel located?

Gerald Appel practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-3273.

What is Gerald Appel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gerald Appel enrolled in Medicare?

Yes. Gerald Appel 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 Gerald Appel affiliated with any hospitals?

According to CMS data, Gerald Appel is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Appel 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.