CLAUDIA M APPLEGATE PA-C
NPI 1457602914
Physician Assistant in Troy, MI

Q: What is Claudia Applegate's NPI number?

The NPI number for Claudia Applegate is 1457602914. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Q: What is Claudia Applegate's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Claudia Applegate was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 25, 2012PECOS Enrolled

86.01/100

CMS Quality Rating

1719 W BIG BEAVER RD, TROY, MI 48084(248) 458-0400 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Claudia M Applegate Pa-c NPPES

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

CLAUDIA M APPLEGATE PA-C (NPI 1457602914) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601006411) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457602914

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCLAUDIA M APPLEGATECredential: PA-C

Location Address1719 W BIG BEAVER RDTroy, MI 48084-3510

Mailing Address1719 W Big Beaver RdTroy, MI 48084-3510 · (248) 458-0400

Phone(248) 458-0400

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 25, 2012

Last NPPES UpdateSeptember 17, 2015

✔ NPI 1457602914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601006411

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1719 W BIG BEAVER RD, Troy, MI 48084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claudia M Applegate Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173777463

PECOS Enrollment IDI20130214000521

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 3

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 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.

193 services143 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

103 services71 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

86.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.29

Improvement Activities

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NESHAN V OHANIAN MD

Anesthesiology