MATTHEW N APTER MD
NPI 1477651602
Internal Medicine - Gastroenterology in Maitland, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
100 E SYBELIA AVE, SUITE 327, MAITLAND, FL 32751(407) 644-2525(407) 644-3307 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew N Apter Md NPPES

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

MATTHEW N APTER MD (NPI 1477651602) is an individual gastroenterology provider in Maitland, Florida, licensed in Florida (ME32579) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of George Washington University School Of Medicine (1972).

NPPES Registry Identity

NPI1477651602
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMATTHEW N APTERCredential: MD
Location Address100 E SYBELIA AVE, SUITE 327Maitland, FL 32751-4763
Mailing Address100 E Sybelia Ave, Suite 327Maitland, FL 32751-4763 · (407) 644-2525 · Fax (407) 644-3307
Fax(407) 644-3307
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1972
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 23, 2009
NPI 1477651602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME32579
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
100 E SYBELIA AVE, Maitland, FL 32751

Other Identifiers 5

Medicare PIN48994ZFL
Medicare PIN48994XFL
Other48994FL · Bcbs
Medicaid000812100FL
Medicare UPIND55543FL

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

Matthew N Apter Md 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 ID8729145545
PECOS Enrollment IDI20090324000103
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 12

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
170 services169 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.
154 services143 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.
124 services124 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.
88 services80 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
80 services79 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
74 services74 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32751 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 10

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

Occupational Therapy Assistant
100 E SYBELIA AVE
MAITLAND, FL 32751
Social Worker (Clinical)
100 E SYBELIA AVE, SUITE 165
MAITLAND, FL 32751
Marriage & Family Therapist
100 E SYBELIA AVE, SUITE 165
MAITLAND, FL 32751
Occupational Therapy Assistant
100 E SYBELIA AVE
MAITLAND, FL 32751
Marriage & Family Therapist
100 E SYBELIA AVE, SUITE 380
MAITLAND, FL 32751
Counselor (Mental Health)
100 E SYBELIA AVE, STE 165
MAITLAND, FL 32751
Community/Behavioral Health
100 E SYBELIA AVE, SUITE 165
MAITLAND, FL 32751
Counselor (Mental Health)
100 E SYBELIA AVE, SUITE 380
MAITLAND, FL 32751

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 Matthew Apter's NPI number?

The NPI number for Matthew Apter is 1477651602. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Matthew Apter located?

Matthew Apter practices at 100 E Sybelia Ave Suite 327, Maitland, FL 32751. The listed phone number is (407) 644-2525.

What is Matthew Apter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Apter enrolled in Medicare?

Yes. Matthew Apter 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 Matthew Apter accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 2 other insurers list Matthew Apter 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 Matthew Apter affiliated with any hospitals?

According to CMS data, Matthew Apter is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Matthew Apter was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.