NICOLE PIATT APPLE OD
NPI 1679821235
Optometrist in Southern Pines, NC

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
77.62/100
CMS Quality Rating
2170 MIDLAND RD, SOUTHERN PINES, NC 28387(910) 295-2100(910) 295-3625 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2022, Oct 19, 2020, Oct 8, 2020 and 1 more (4 updates tracked since 2016).

About Nicole Piatt Apple Od NPPES

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

NICOLE PIATT APPLE OD (NPI 1679821235) is an individual optometrist in Southern Pines, North Carolina, licensed in North Carolina (2300) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sanford, and is a graduate of Pennsylvania College Of Optometry (2012).

NPPES Registry Identity

NPI1679821235
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE PIATT APPLECredential: OD
Location Address2170 MIDLAND RDSouthern Pines, NC 28387-2927
Mailing Address2170 Midland RdSouthern Pines, NC 28387-2927 · (910) 295-2100 · Fax (910) 295-3625
Fax(910) 295-3625
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2012
Enumeration DateAugust 29, 2012
Last NPPES UpdateDecember 20, 20234 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
NPI 1679821235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 2300
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2170 MIDLAND RD, Southern Pines, NC 28387

Other Names 1

Former Name (1)Dr. Nicole Alexandria Apple Od

Secondary Practice Location 1

Location 11223 Carthage StSanford, NC 27330-8984 · Phone (919) 776-7549 · Fax (910) 774-3330

Other Identifiers 1

Medicaid1679821235NC

Accepted 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

Nicole Piatt Apple Od 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 ID4981855145
PECOS Enrollment IDI20121115000549
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 16

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 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.
462 services327 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.
242 services219 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.
230 services225 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
224 services208 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.
217 services179 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
185 services174 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

77.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost25.42

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.

Ophthalmology
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Nurse Anesthetist, Certified Registered
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Physician Assistant
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Ophthalmology
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Nurse Anesthetist, Certified Registered
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Optometrist
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Physician Assistant
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Ophthalmology
2170 MIDLAND RD
SOUTHERN PINES, NC 28387

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 Nicole Apple's NPI number?

The NPI number for Nicole Apple is 1679821235. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Dr. Nicole Alexandria Apple Od.

Where is Nicole Apple located?

Nicole Apple practices at 2170 Midland Rd, Southern Pines, NC 28387. The listed phone number is (910) 295-2100.

What is Nicole Apple's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicole Apple enrolled in Medicare?

Yes. Nicole 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 Nicole Apple accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 3 other insurers list Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Apple was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.