HEATHER APPELBAUM MD
NPI 1548331945
Obstetrics & Gynecology - Obstetrics in Manhasset, NY

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
WOMEN'S COM. HEALTH CENTER, 1554 NORTHEN BOULEVARD, MANHASSET, NY 11030(516) 390-9242 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Appelbaum Md NPPES

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

HEATHER APPELBAUM MD (NPI 1548331945) is an individual obstetrics provider in Manhasset, New York, licensed in New York (215490) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1996).

NPPES Registry Identity

NPI1548331945
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameHEATHER APPELBAUMCredential: MD
Location AddressWOMEN'S COM. HEALTH CENTER, 1554 NORTHEN BOULEVARDManhasset, NY 11030
Mailing AddressWomen's Com. Health Center, 1554 Northen BoulevardManhasset, NY 11030 · (516) 390-9242
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1996
Enumeration DateNovember 10, 2006
Last NPPES UpdateMarch 7, 2008
NPI 1548331945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in NY · 215490
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
WOMEN'S COM. HEALTH CENTER, Manhasset, NY 11030

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

Heather 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 ID6507770419
PECOS Enrollment IDI20201124000672
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

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 Heather Appelbaum's NPI number?

The NPI number for Heather Appelbaum is 1548331945. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Heather Appelbaum located?

Heather Appelbaum practices at Women's Com. Health Center 1554 Northen Boulevard, Manhasset, NY 11030. The listed phone number is (516) 390-9242.

What is Heather Appelbaum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Heather Appelbaum enrolled in Medicare?

Yes. Heather 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.

When was this NPI record last updated?

The NPPES record for Heather Appelbaum was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.