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DR. ROBERT I. APPEL M.D.
NPI 1730140518
Ophthalmology in Glen Cove, NY

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
34 FOREST AVE, GLEN COVE, NY 11542(516) 676-0210(516) 759-3307 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert I. Appel M.d. NPPES

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

DR. ROBERT I. APPEL M.D. (NPI 1730140518) is an individual ophthalmology provider in Glen Cove, New York, licensed in New York (153123) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Queens Hospital Center, and is a graduate of Js Weill Medical College, Cornell University (1973).

NPPES Registry Identity

NPI1730140518
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROBERT I. APPELCredential: M.D.
Location Address34 FOREST AVEGlen Cove, NY 11542-2111
Mailing Address34 Forest AveGlen Cove, NY 11542-2111 · (516) 676-0210 · Fax (516) 759-3307
Phone(516) 676-0210
Fax(516) 759-3307
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1973
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 8, 2016
✔ NPI 1730140518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 153123
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.
34 FOREST AVE, Glen Cove, NY 11542
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Other Identifiers 10

Other112704861NY · Tax Id Number
Other153123NY · Hip
Medicare UPINB72825NY
Other0677840001NY · Healthnow
Medicare ID-Type Unspecified87A101NY
OtherAS1128NY · Oxford
Other0067944NY · Ghi
Other153123A75NY · Healthfirst
Other180002729NY · Rr Medicare
Medicaid00823134NY

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

Dr. Robert I. Appel 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 ID2466343264
PECOS Enrollment IDI20040322001461
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 5

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.

Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
48 services26 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
27 services18 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
27 services27 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.
27 services27 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
43%23 patients2/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
74%23 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%37 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%598 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
34%47 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 262 patients
0%262 patients5/55-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.

Other Providers at the Same Location NPPES 3

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

ROBERT APPEL, MD
Durable Medical Equipment & Medical Supplies
34 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 676-0210
JENNIFER GERST DEBEER CHARNO
Massage Therapist
34 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 647-0545
DR. THERESA MARIE SPINELLO PH.D., DCSW
Social Worker (Clinical)
34 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 674-8258

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 Robert Appel's NPI number?

The NPI number for Robert Appel is 1730140518. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Robert Appel located?

Robert Appel practices at 34 Forest Ave, Glen Cove, NY 11542. The listed phone number is (516) 676-0210.

What is Robert Appel's specialty?

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

Is Robert Appel enrolled in Medicare?

Yes. Robert Appel 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.

Is Robert Appel affiliated with any hospitals?

According to CMS data, Robert Appel is affiliated with Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for Robert Appel was last updated on January 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.