DANIEL BENJAMIN APPLE M.D.
NPI 1649565045
Ophthalmology in Detroit, MI

Q: What is Daniel Apple's NPI number?

The NPI number for Daniel Apple is 1649565045. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Q: What is Daniel Apple's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Apple was last updated on September 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4717 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2016, Jun 29, 2016 (2 updates tracked since 2016).

On this page

About Daniel Benjamin Apple M.d. NPPES

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

DANIEL BENJAMIN APPLE M.D. (NPI 1649565045) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301109284) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2011).

NPPES Registry Identity

NPI1649565045

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDANIEL BENJAMIN APPLECredential: M.D.

Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423

Mailing Address1560 E Maple Road, Suite 400- CredentialingTroy, MI 48083-1138 · (313) 577-8900 · Fax (313) 577-0700

Phone(313) 577-8900

Fax(313) 577-0700

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2011

Enumeration DateJune 14, 2011

Last NPPES UpdateSeptember 13, 20162 updates tracked since enumeration

✔ NPI 1649565045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301109284

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4717 SAINT ANTOINE ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, UnitedHealthcare.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

Daniel Benjamin Apple 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 ID9537464870

PECOS Enrollment IDI20180831000387

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 14

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

22,920 services63 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,095 services892 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,122 services129 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,025 services241 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.

949 services310 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

939 services658 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

332 services19 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

137 services48 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.

110 services110 patients

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.

72 services67 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

33 services28 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

19 services17 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

12 services12 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420023

LocationOne St Francis DrGreenville, SC 29601 · Greenville County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

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

DR. HASSAN ALI TOKKO MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-7614

WILLIAM ROBERT LUCAS JR. MD

Ophthalmology

4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

UNIVERSITY PHYSICIAN GROUP

Optometrist

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

TUBA SOHAIL MIRZA DO

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

PRADEEPA YOGANATHAN MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8932

MARYAM ASHRAFKHORASANI

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

NIKITA KAUR BHANGU MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 745-5146

CLAIRE SIMONS MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

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 Daniel Apple's NPI number?

The NPI number for Daniel Apple is 1649565045. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Daniel Apple located?

Daniel Apple practices at 4717 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Daniel Apple's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Daniel Apple enrolled in Medicare?

Yes. Daniel Apple 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 Daniel Apple accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Daniel Apple 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 Daniel Apple affiliated with any hospitals?

According to CMS data, Daniel Apple is affiliated with Spartanburg Medical Center, St Francis-Downtown and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Apple was last updated on September 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.