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MARK JUSTIN APFEL M.D.
NPI 1538219779
Family Medicine in Boonville, CA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
73.79/100
CMS Quality Rating
13500 AIRPORT ROAD, BOONVILLE, CA 95415(707) 895-3477(707) 895-2035 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Justin Apfel M.d. NPPES

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

MARK JUSTIN APFEL M.D. (NPI 1538219779) is an individual family medicine provider in Boonville, California, licensed in California (G27316) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1973).

NPPES Registry Identity

NPI1538219779
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK JUSTIN APFELCredential: M.D.
Location Address13500 AIRPORT ROADBoonville, CA 95415
Mailing Address13500 Airport Road, P.o. Box 338Boonville, CA 95415 · (707) 895-3477 · Fax (707) 895-2035
Phone(707) 895-3477
Fax(707) 895-2035
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1973
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 28, 2012
✔ NPI 1538219779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G27316
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13500 AIRPORT ROAD, Boonville, CA 95415
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Other Identifiers 3

Medicare ID-Type UnspecifiedA43320CA
Medicare UPINA43320CA
Medicaid00G273160CA

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

Mark Justin Apfel 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 ID9830242643
PECOS Enrollment IDI20090727000482
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

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 straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95415 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

73.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability92
Improvement Activities40
Cost36.93

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$97.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$34.94 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 3

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

CINDY S NOVELLA FNP
Nurse Practitioner
13500 AIRPORT ROAD
BOONVILLE, CA 95415
Mendocino County (707) 895-3477
ANDERSON VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
13500 AIRPORT ROAD
BOONVILLE, CA 95415
Mendocino County (707) 895-3477
PETER H. BARG MD
Family Medicine
13500 AIRPORT ROAD
BOONVILLE, CA 95415
Mendocino County (707) 895-3477

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 Mark Apfel's NPI number?

The NPI number for Mark Apfel is 1538219779. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Mark Apfel located?

Mark Apfel practices at 13500 Airport Road, Boonville, CA 95415. The listed phone number is (707) 895-3477.

What is Mark Apfel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Apfel enrolled in Medicare?

Yes. Mark Apfel 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.

When was this NPI record last updated?

The NPPES record for Mark Apfel was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.