HEATHER APPELBAUM MD
NPI 1548331945
Obstetrics & Gynecology - Obstetrics in Manhasset, NY
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Appelbaum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Heather Appelbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Appelbaum reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Appelbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Appelbaum accept?
Health plans from Ambetter Health and Oscar Health list Heather 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.
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.
# Heather Appelbaum, MD · NPI 1548331945
Obstetrics physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1548331945 (Entity type: Individual)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **State license:** 215490 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** WOMEN'S COM. HEALTH CENTER, 1554 NORTHEN BOULEVARD, Manhasset, NY 11030
- **Phone:** (516) 390-9242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** March 7, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1548331945) · Data from the CMS NPPES public registry.