JAY APPLEBAUM M.D.
NPI 1740214618
Dermatology - Procedural Dermatology in Tustin, CA

Active since July 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0896423 · Certificate of Compliance
100/100
CMS Quality Rating
17601 17TH ST STE 110, TUSTIN, CA 92780(714) 790-0005(714) 699-2444 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay Applebaum M.d. NPPES

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

JAY APPLEBAUM M.D. (NPI 1740214618) is an individual procedural dermatology provider in Tustin, California, licensed in California (G054219) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through August 20, 2027, and is a graduate of New York University School Of Medicine (1980).

NPPES Registry Identity

NPI1740214618
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameJAY APPLEBAUMCredential: M.D.
Location Address17601 17TH ST STE 110Tustin, CA 92780-1946
Mailing Address17601 17th St Ste 110Tustin, CA 92780-1946 · (714) 790-0005 · Fax (714) 699-2444
Fax(714) 699-2444
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1980
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 27, 2020
NPI 1740214618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in CA · G054219
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
17601 17TH ST STE 110, Tustin, CA 92780

Other Identifiers 3

Medicaid00G542191CA
OtherG54219CA · Medical License
Other05D0896423CA · Clia

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

Jay Applebaum 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 ID6103850169
PECOS Enrollment IDI20050920000901
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0896423

Jay Applebaum MD Inc · Tustin, CA
Active · expires Aug 20, 2027
CLIA Number05D0896423
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorJay Applebaum
Laboratory Phone(714) 790-0005
Laboratory LocationJay Applebaum MD Inc17601 E 17th St, Ste 110, Tustin, CA 92780
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 18

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,060 services255 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
534 services315 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.
533 services358 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.
386 services272 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
285 services212 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
108 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%795 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
58%2,614 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%93 patients
Tobacco Use and Help with Quitting Among Adolescents
67%88 patients1/55-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 5

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

Dermatology
17601 17TH ST STE 110
TUSTIN, CA 92780
Dermatology
17601 17TH ST STE 110
TUSTIN, CA 92780
Dermatology
17601 17TH ST STE 110
TUSTIN, CA 92780
Dermatology
17601 17TH ST STE 110
TUSTIN, CA 92780
Dermatology
17601 17TH ST STE 110
TUSTIN, CA 92780

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 Jay Applebaum's NPI number?

The NPI number for Jay Applebaum is 1740214618. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Jay Applebaum located?

Jay Applebaum practices at 17601 17th St Ste 110, Tustin, CA 92780. The listed phone number is (714) 790-0005.

What is Jay Applebaum's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Jay Applebaum enrolled in Medicare?

Yes. Jay Applebaum 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.

Does Jay Applebaum hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0896423) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jay Applebaum was last updated on February 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.