ANDREW APPELBAUM MD
NPI 1669565081
Family Medicine in Bellevue, WA

Q: What is Andrew Appelbaum's NPI number?

The NPI number for Andrew Appelbaum is 1669565081. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Q: What is Andrew Appelbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Appelbaum was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2006PECOS EnrolledAccepts Medicare Assignment

1370 116TH AVE NE STE 206, BELLEVUE, WA 98004(425) 378-8190 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Andrew Appelbaum Md NPPES

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

ANDREW APPELBAUM MD (NPI 1669565081) is an individual family medicine provider in Bellevue, Washington, licensed in Washington (MD00033120) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1669565081

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDREW APPELBAUMCredential: MD

Location Address1370 116TH AVE NE STE 206Bellevue, WA 98004-3825

Mailing Address4950 Communication Ave Ste 100Boca Raton, FL 33431-3308 · (561) 982-4300

Phone(425) 378-8190

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateSeptember 30, 2006

Last NPPES UpdateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1669565081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD00033120

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1370 116TH AVE NE STE 206, Bellevue, WA 98004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Andrew 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 ID3476444613

PECOS Enrollment IDI20100812000710

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 15

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, 20-29 minutes 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.

306 services152 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

153 services89 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

113 services101 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

88 services86 patients

Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

86 services84 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

78 services78 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

72 services70 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

58 services57 patients

Fee covid-19 vac 13 res 0124A

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

33 services33 patients

Coronavirus vaccine 13 91312

The "Coronavirus Vaccine 13" isn't a recognized term. However, COVID-19 vaccines help protect against the virus by triggering an immune response. They teach your body how to fight the virus if exposed, reducing the risk of severe illness. It's crucial for public health and safety.

32 services32 patients

Adm sarscov2 50mcg/0.25mlbst 0064A

This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.

23 services23 patients

Sarscov2 vac 50mcg/0.25ml im 91306

The Sarscov2 vac 50mcg/0.25ml im is a COVID-19 vaccine. It's administered as an intramuscular injection, typically in the arm. The vaccine helps your body develop immunity to the virus, reducing your risk of severe illness.

23 services23 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

13 services11 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500051

Location1035-116th Ave NEBellevue, WA 98004 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

73%112 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

89%171 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

97%176 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

10 suppliers25 claims74 services$5.59 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims16 services$0.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

HIGHER HEALTH CHIROPRACTIC & SPORTS REHAB CENTER LLC

Chiropractor

1370 116TH AVE NE STE 206
BELLEVUE, WA 98004

King County (425) 830-8367

VALUE IN PREVENTION OF WASHINGTON PLLC

Family Medicine

1370 116TH AVE NE STE 206
BELLEVUE, WA 98004

King County (425) 378-8190

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 Andrew Appelbaum's NPI number?

The NPI number for Andrew Appelbaum is 1669565081. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Andrew Appelbaum located?

Andrew Appelbaum practices at 1370 116th Ave NE Ste 206, Bellevue, WA 98004. The listed phone number is (425) 378-8190.

What is Andrew Appelbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Appelbaum enrolled in Medicare?

Yes. Andrew 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 Andrew Appelbaum accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew 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 Andrew Appelbaum affiliated with any hospitals?

According to CMS data, Andrew Appelbaum is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Appelbaum was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.