PAUL TIMOTHY APPLETON M.D.
NPI 1831180645
Orthopaedic Surgery - Orthopaedic Trauma in Boston, MA

Q: What is Paul Appleton's NPI number?

The NPI number for Paul Appleton is 1831180645. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Q: What is Paul Appleton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Paul Appleton was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 01, 2005PECOS EnrolledAccepts Medicare Assignment

75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Paul Timothy Appleton M.d. NPPES

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

PAUL TIMOTHY APPLETON M.D. (NPI 1831180645) is an individual orthopaedic trauma provider in Boston, Massachusetts, licensed in Massachusetts (226947) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Geisel School Of Medicine At Dartmouth (1998).

NPPES Registry Identity

NPI1831180645

Entity TypeIndividualMale

Primary Taxonomy207XX0801X

Provider Legal NamePAUL TIMOTHY APPLETONCredential: M.D.

Location Address75 FRANCIS STBoston, MA 02115-6110

Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500

Phone(617) 732-5500

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1998

Enumeration DateNovember 1, 2005

Last NPPES UpdateDecember 11, 2017

✔ NPI 1831180645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

License✔ Licensed in MA · 226947

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

75 FRANCIS ST, Boston, MA 02115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

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

Paul Timothy Appleton 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 ID6608886940

PECOS Enrollment IDI20060501000528

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 Paul Appleton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brigham & Womens Physicians Organization Inc

Same address

Internal Medicine

75 FRANCIS ST
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
4,574 clinicians in this Medicare group

NPI 1033535497 (617) 732-5500

Beth Israel Deaconess Medical Center, Inc.

0.3 mi

General Acute Care Hospital

330 BROOKLINE AVE, ST 207
Boston, MA 02215

Reassigned Medicare billing, Massachusetts enrollment
1,477 clinicians in this Medicare group

NPI 1548202641 (617) 667-1961

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

0.3 mi

Internal Medicine

330 BROOKLINE AVE
Boston, MA 02215

Reassigned Medicare billing, Massachusetts enrollment
2,579 clinicians in this Medicare group

NPI 1194765438 (617) 754-9600

Steward Medical Group, Inc

4.5 mi

Specialist

9 GALEN ST
Watertown, MA 02472

Reassigned Medicare billing, Massachusetts enrollment
1,103 clinicians in this Medicare group

NPI 1629398219 (615) 467-4474

South Shore Orthopedics LLC

15 mi

Orthopaedic Surgery

2 POND PARK, SUITE 102
Hingham, MA 02043

Reassigned Medicare billing, Massachusetts enrollment
32 clinicians in this Medicare group

NPI 1720285018 (781) 337-5555

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 7

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.

147 services96 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services41 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

26 services26 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220060

Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County

Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220083

Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County

Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

New England Baptist Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220088

Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Beth Israel Deaconess Hospital - Milton

Acute Care Hospitals · Milton, MA

4/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number220108

Location199 Reedsdale RoadMilton, MA 02186 · Norfolk County

Emergency services

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.

RUMA RAJBHANDARI

Internal Medicine (Gastroenterology)

75 FRANCIS ST
BOSTON, MA 02115

Suffolk County (617) 525-6841

WENYA LINDA BI

Neurological Surgery

75 FRANCIS ST
BOSTON, MA 02115

Suffolk County (203) 645-9485

CHI YUEN CHAN M.D.

Student in an Organized Health Care Education/Training Program

75 FRANCIS ST
BOSTON, MA 02115

Suffolk County (617) 732-5500

JENNIFER MICHELLE THOMAS MD

Radiology (Diagnostic Radiology)

75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115

Suffolk County (617) 732-6248

GAURAV SHARMA M.D.

Surgery (Vascular Surgery)

75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115

Suffolk County (951) 259-0890

YEU-SHIN CINDY CHANG M.D., M.P.H.

Emergency Medicine

75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115

Suffolk County (617) 732-8070

CARA L RICHARDS

Physician Assistant

75 FRANCIS ST
BOSTON, MA 02115

Suffolk County (617) 732-5500

LARA COAKLEY

Nurse Practitioner (Family)

75 FRANCIS ST
BOSTON, MA 02115

Suffolk County (617) 732-5500

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 Paul Appleton's NPI number?

The NPI number for Paul Appleton is 1831180645. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Paul Appleton located?

Paul Appleton practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Paul Appleton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Paul Appleton enrolled in Medicare?

Yes. Paul 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 Paul Appleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Appleton reassigns Medicare benefits to 5 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Beth Israel Deaconess Medical Center, Inc. (Boston, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA), Steward Medical Group, Inc (Watertown, MA) and South Shore Orthopedics LLC (Hingham, MA). 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 Paul Appleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Appleton accept?

Health plans from Taro Health list Paul Appleton 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 Paul Appleton affiliated with any hospitals?

According to CMS data, Paul Appleton is affiliated with Beth Israel Deaconess Hospital Plymouth, Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center, New England Baptist Hospital and Beth Israel Deaconess Hospital - Milton.

When was this NPI record last updated?

The NPPES record for Paul Appleton was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.