DYLAN TOM APPLIN MD
NPI 1396205456
Radiology - Pediatric Radiology in Milwaukee, WI

NPI Status: Active since March 23, 2019

Contact Information

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-2000

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 7
  • Radiology
  • Pediatric Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DYLAN APPLIN

This page provides the complete NPI Profile along with additional information for Dylan Applin, a provider established in Milwaukee, Wisconsin with a medical specialization in Radiology, focusing in pediatric radiology and more than 7 years of experience. He graduated from Medical College Of Wisconsin in 2019. The healthcare provider is registered in the NPI registry with number 1396205456 assigned on March 2019. The practitioner's primary taxonomy code is 2085P0229X with license number 76017 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1396205456
Provider Name
DYLAN TOM APPLIN MD
Gender
Male
Entity Type
Individual
Location Address
9000 W WISCONSIN AVE MILWAUKEE, WI 53226
Location Phone
(414) 266-2000
Mailing Address
9000 W WISCONSIN AVE MILWAUKEE, WI 53226
Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
03-23-2019
Last Update Date
04-16-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Pediatric Radiology

Taxonomy Code
2085P0229X
Type
Allopathic & Osteopathic Physicians
License No.
76017
License State
WI
Taxonomy Description
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1396205456MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

Dylan Applin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dylan Applin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3274968060

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250514002696

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DYLAN TOM APPLIN MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396205456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 4 + 0 + 1 + 0 + 4 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1396205456.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Nephrology)
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY
MILWAUKEE, WI 53226
Genetic Counselor, MS
9000 W WISCONSIN AVE, MS 716
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI 53226
Pediatrics (Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE, PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI 53226
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Neurological Surgery
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Hospitalist
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Anesthesiology (Critical Care Medicine)
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Allergy & Immunology
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Anesthesiology
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Registered Nurse
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Anesthesiology
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine (Medical Toxicology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE, PEDIATRIC ALLERY AND IMMUNOLOGY
MILWAUKEE, WI 53226
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396205456, enumerated as an "individual" on March 23, 2019.

The provider is located at 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 and the phone number is (414) 266-2000.

Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.