DR. JAMES ZIEGLER APPEL III M.D.
NPI 1912170119
Plastic Surgery in Charlotte, NC

Q: What is James Appel's NPI number?

The NPI number for James Appel is 1912170119. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is James Appel's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for James Appel was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 08, 2008PECOS EnrolledAccepts Medicare Assignment

1901 BRUNSWICK AVE, SUITE 200, CHARLOTTE, NC 28207(704) 316-5025(704) 316-5022 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2020, Jan 4, 2017 (2 updates tracked since 2017).

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About Dr. James Ziegler Appel Iii M.d. NPPES

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

DR. JAMES ZIEGLER APPEL III M.D. (NPI 1912170119) is an individual plastic surgery provider in Charlotte, North Carolina, licensed in North Carolina (2010-01097) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2001).

NPPES Registry Identity

NPI1912170119

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. JAMES ZIEGLER APPEL IIICredential: M.D.

Location Address1901 BRUNSWICK AVE, SUITE 200Charlotte, NC 28207-2809

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 444-5800 · Fax (704) 444-5819

Phone(704) 316-5025

Fax(704) 316-5022

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2001

Enumeration DateApril 8, 2008

Last NPPES UpdateOctober 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2020

✔ NPI 1912170119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in NC · 2010-01097✔ Licensed in TN · 43863

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License 2010-01097 (NC), 43863 (TN)

1901 BRUNSWICK AVE, Charlotte, NC 28207

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Other Identifiers 1

Medicaid5915299NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Dr. James Ziegler Appel Iii 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 ID9830213834

PECOS Enrollment IDI20100827000259

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 Reassignment

Medicare enrollment records show James Appel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Plastic Surgery

1901 BRUNSWICK AVE, SUITE 200
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1154765832 (704) 316-5025

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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 8

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

DR. ALEXANDER ROSSITCH DDS

Dentist (General Practice)

1901 BRUNSWICK AVE, SUITE 250
CHARLOTTE, NC 28207

Mecklenburg County (704) 372-0290

NOVANT HEALTH MEDICAL GROUP, LLC

Plastic Surgery

1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207

Mecklenburg County (704) 316-5025

MR. JAMES LEWIS WALLACE JR. CPO

Orthotist

1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207

Mecklenburg County (704) 348-4488

CHRISTINA M HINTON CP

Prosthetist

1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207

Mecklenburg County (704) 348-4488

DONALD D. FRASER, M.D., P.A.

Clinic/Center (Medical Specialty)

1901 BRUNSWICK AVE, SUITE 240
CHARLOTTE, NC 28207

Mecklenburg County (704) 377-3299

LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.

Prosthetic/Orthotic Supplier

1901 BRUNSWICK AVE, SUITE 240
CHARLOTTE, NC 28207

Mecklenburg County (704) 348-4488

MRS. MELANIE H BROCATO CPO

Orthotist

1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207

Mecklenburg County (704) 348-4488

JENNIFER LEIGH LITTLE

Physician Assistant

1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207

Mecklenburg County (170) 431-6502

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 Appel's NPI number?

The NPI number for James Appel is 1912170119. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is James Appel located?

James Appel practices at 1901 Brunswick Ave Suite 200, Charlotte, NC 28207. The listed phone number is (704) 316-5025.

What is James Appel's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is James Appel enrolled in Medicare?

Yes. James 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.

Which organization bills Medicare for James Appel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Appel reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, NC). The 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 Appel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Appel accept?

Health plans from Cigna Healthcare list James Appel 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 James Appel affiliated with any hospitals?

According to CMS data, James Appel is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for James Appel was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.