DR. JAMES FREDERIC APPLETON JR. DPM
NPI 1710280037
Podiatrist - Foot & Ankle Surgery in Pawtucket, RI

Q: What is James Appleton's NPI number?

The NPI number for James Appleton is 1710280037. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Q: What is James Appleton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for James Appleton was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 08, 2010PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

649 EAST AVE, PAWTUCKET, RI 02860(401) 305-3800(401) 305-3816 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. James Frederic Appleton Jr. Dpm NPPES

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

DR. JAMES FREDERIC APPLETON JR. DPM (NPI 1710280037) is an individual foot & ankle surgery provider in Pawtucket, Rhode Island, licensed in Rhode Island (DPM00338) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of New York College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1710280037

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JAMES FREDERIC APPLETON JR.Credential: DPM

Location Address649 EAST AVEPawtucket, RI 02860-6157

Mailing Address649 East AvePawtucket, RI 02860-6157 · (401) 305-3800 · Fax (401) 305-3816

Phone(401) 305-3800

Fax(401) 305-3816

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2010

Enumeration DateDecember 8, 2010

Last NPPES UpdateJuly 22, 2013

✔ NPI 1710280037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in RI · DPM00338

649 EAST AVE, Pawtucket, RI 02860

Open in Google Maps ↗

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

Dr. James Frederic Appleton Jr. Dpm 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 ID6204060692

PECOS Enrollment IDI20131018001191, I20140610001565

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 Reassignments

Medicare enrollment records show James Appleton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rhode Island Foot Care, Inc

Same address

Foot & Ankle Surgery

649 EAST AVE
Pawtucket, RI 02860

Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
9 clinicians in this Medicare group

NPI 1134242472 (401) 305-3800

Rhode Island Hospital

3.5 mi

Multi-Specialty

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
358 clinicians in this Medicare group

NPI 1154537520 (401) 444-6905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

715 services213 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

690 services206 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

572 services179 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.

452 services211 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

412 services131 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

157 services56 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

139 services139 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

103 services17 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

96 services23 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

67 services23 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

53 services24 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

29 services21 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.

26 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

18 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

14 services14 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number220020

Location795 Middle StreetFall River, MA 02721 · Bristol County

Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410005

Location200 High Service AvenueNorth Providence, RI 02904 · Providence County

Emergency services

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

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.

0/100

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

Individually scored

Quality

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier33 claims66 services$61.24 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier23 claims84 services$25.00 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier15 claims15 services$288.25 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.

RHODE ISLAND FOOT CARE, INC

Podiatrist (Foot & Ankle Surgery)

649 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 305-3800

NICOLE A. CURRERI DPM

Podiatrist (Foot & Ankle Surgery)

649 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 354-1384

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 James Appleton's NPI number?

The NPI number for James Appleton is 1710280037. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is James Appleton located?

James Appleton practices at 649 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 305-3800.

What is James Appleton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is James Appleton enrolled in Medicare?

Yes. James Appleton 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 James Appleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Appleton reassigns Medicare benefits to 2 organizations: Rhode Island Foot Care, Inc (Pawtucket, RI) and Rhode Island Hospital (Providence, RI). 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 James Appleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Appleton affiliated with any hospitals?

According to CMS data, James Appleton is affiliated with Saint Anne's Hospital, Our Lady Of Fatima Hospital and Newport Hospital.

When was this NPI record last updated?

The NPPES record for James Appleton was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.