1. Home
  2. Directory
  3. New York
  4. Pearl River
  5. Internal Medicine
  6. NPI Profile

DR. ARTHUR ERWIN APPEL M.D.
NPI 1558355107
Internal Medicine in Pearl River, NY

Active since September 08, 2005PECOS Enrolled
75/100
CMS Quality Rating
119 FRANKLIN AVE, PEARL RIVER, NY 10965(845) 735-4100(845) 735-4473 Get Directions Write a Review

NPPES record last updated: July 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Arthur Erwin Appel M.d. NPPES

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

DR. ARTHUR ERWIN APPEL M.D. (NPI 1558355107) is an individual internal medicine provider in Pearl River, New York, licensed in New York (112923) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558355107
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ARTHUR ERWIN APPELCredential: M.D.
Location Address119 FRANKLIN AVEPearl River, NY 10965-2510
Mailing Address119 Franklin AvePearl River, NY 10965-2510 · (845) 735-4100 · Fax (845) 735-4473
Phone(845) 735-4100
Fax(845) 735-4473
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 11, 2021
NPPES CertifiedJuly 11, 2021
✔ NPI 1558355107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 112923
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 112923 (NY)
119 FRANKLIN AVE, Pearl River, NY 10965
Open in Google Maps ↗

Other Identifiers 1

Medicaid00204628NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arthur Erwin Appel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Arthur Appel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

White Plains Medical Diagnostic Services, PC
5.4 mi
Internal Medicine
160 N MIDLAND AVE
Nyack, NY 10960
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
NPI 1689955338 (845) 348-2000

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 10965 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers61 claims118 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers23 claims26 services$1.13 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$14.34 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$14.65 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$194.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Arthur Appel's NPI number?

The NPI number for Arthur Appel is 1558355107. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Arthur Appel located?

Arthur Appel practices at 119 Franklin Ave, Pearl River, NY 10965. The listed phone number is (845) 735-4100.

What is Arthur Appel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Arthur Appel enrolled in Medicare?

Yes. Arthur Appel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Arthur Appel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Appel reassigns Medicare benefits to White Plains Medical Diagnostic Services, PC (Nyack, NY). The 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 Arthur Appel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Arthur Appel was last updated on July 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.