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ERIC NICHOLAS APPELBAUM MD
NPI 1538506498
Otolaryngology - Otology & Neurotology in Marietta, GA

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
699 CHURCH ST NE STE 340, MARIETTA, GA 30060(678) 355-1620(770) 420-3422 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2022, Aug 27, 2020, Jun 25, 2018 (3 updates tracked since 2018).

About Eric Nicholas Appelbaum Md NPPES

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

ERIC NICHOLAS APPELBAUM MD (NPI 1538506498) is an individual otology & neurotology provider in Marietta, Georgia, licensed in Georgia (86257) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Saint Louis University School Of Medicine (2013).

NPPES Registry Identity

NPI1538506498
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameERIC NICHOLAS APPELBAUMCredential: MD
Location Address699 CHURCH ST NE STE 340Marietta, GA 30060-1131
Mailing Address699 Church St Ne Ste 340Marietta, GA 30060-1131 · (678) 355-1620 · Fax (770) 420-3422
Phone(678) 355-1620
Fax(770) 420-3422
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1538506498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
Licenses✔ Licensed in GA · 86257✔ Licensed in TX · BP10065142
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
699 CHURCH ST NE STE 340, Marietta, GA 30060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Eric Nicholas Appelbaum 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 ID5890937759
PECOS Enrollment IDI20200721003921
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 9

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.
200 services168 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.
83 services83 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.
67 services53 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
26 services23 patients
Simple removal of skin debris and drainage of mastoid cavity 69220
This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.
21 services14 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

YUMEI MANZANO PA-C
Physician Assistant
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620
MS. CARTER MARIE WHATLEY PA-C
Physician Assistant (Medical)
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620
NICHOLAS MILDENHALL MD
Otolaryngology
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620
JENNIE ALLEN GINN AU.D
Audiologist
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-7620
DR. BROOKE N PRITCHARD
Audiologist
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620
DR. DAVID PARKS M.D
Otolaryngology
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620
NELSON HENRY MAY MD
Otolaryngology
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620
DR. KRISTI ANDERSON HALSELL AU.D., CCC-A
Audiologist
699 CHURCH ST NE STE 340
MARIETTA, GA 30060
Cobb County (678) 355-1620

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 Eric Appelbaum's NPI number?

The NPI number for Eric Appelbaum is 1538506498. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Eric Appelbaum located?

Eric Appelbaum practices at 699 Church St NE Ste 340, Marietta, GA 30060. The listed phone number is (678) 355-1620.

What is Eric Appelbaum's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Eric Appelbaum enrolled in Medicare?

Yes. Eric Appelbaum 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 Eric Appelbaum accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Eric Appelbaum 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 Eric Appelbaum affiliated with any hospitals?

According to CMS data, Eric Appelbaum is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Eric Appelbaum was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.