SCOTT VICTOR APPELL M.D.
NPI 1891715918
Orthopaedic Surgery in Vestavia, AL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
5018 CAHABA RIVER RD, VESTAVIA, AL 35243(205) 397-5200 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Sep 23, 2020, Oct 17, 2019 (3 updates tracked since 2019).

About Scott Victor Appell M.d. NPPES

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

SCOTT VICTOR APPELL M.D. (NPI 1891715918) is an individual orthopaedic surgery provider in Vestavia, Alabama, licensed in Alabama (13579) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1986).

NPPES Registry Identity

NPI1891715918
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSCOTT VICTOR APPELLCredential: M.D.
Location Address5018 CAHABA RIVER RDVestavia, AL 35243-2317
Mailing Address5018 Cahaba River RdVestavia, AL 35243-2317 · (205) 397-5200
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1986
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1891715918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AL · 13579
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5018 CAHABA RIVER RD, Vestavia, AL 35243

Other Identifiers 3

Medicaid99101103AL
Medicaid051522968AL
Other51540930AL · Bcbs

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

Scott Victor Appell 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 ID4981678539
PECOS Enrollment IDI20040820000610
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 17

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
435 services52 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.
365 services272 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
251 services162 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
227 services146 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
140 services119 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
88 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers25 claims25 services$53.96 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 20

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

Occupational Therapist (Hand)
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Physician Assistant (Surgical)
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Orthopaedic Surgery
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Orthopaedic Surgery
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Orthopaedic Surgery
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Nurse Practitioner (Family)
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Radiology (Diagnostic Radiology)
5018 CAHABA RIVER RD
VESTAVIA, AL 35243
Physician Assistant (Surgical)
5018 CAHABA RIVER RD
VESTAVIA, AL 35243

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 Scott Appell's NPI number?

The NPI number for Scott Appell is 1891715918. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Scott Appell located?

Scott Appell practices at 5018 Cahaba River Rd, Vestavia, AL 35243. The listed phone number is (205) 397-5200.

What is Scott Appell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Scott Appell enrolled in Medicare?

Yes. Scott Appell 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 Scott Appell accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Scott Appell 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 Scott Appell was last updated on December 13, 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.