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ABRAHAM T APPLETON MD
NPI 1912974643
Orthopaedic Surgery - Orthopaedic Trauma in Sayre, PA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
1 GUTHRIE SQ, SAYRE, PA 18840(570) 887-2841(570) 887-2079 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abraham T Appleton Md NPPES

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

ABRAHAM T APPLETON MD (NPI 1912974643) is an individual orthopaedic trauma provider in Sayre, Pennsylvania, licensed in Pennsylvania (MD424966) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1981).

NPPES Registry Identity

NPI1912974643
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameABRAHAM T APPLETONCredential: MD
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(570) 887-2841
Fax(570) 887-2079
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1981
Enumeration DateMarch 1, 2006
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1912974643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in PA · MD424966✔ Licensed in OH · 35090649
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.
1 GUTHRIE SQ, Sayre, PA 18840
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Other Identifiers 1

Medicaid101162605 0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Abraham T Appleton Md 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 ID5092777490
PECOS Enrollment IDI20041029000482, I20110727000042
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

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.
40 services23 patients

Hospital Affiliations CMS Care Compare

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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.75 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$4.93 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.

DR. DANIELLE LYNNETTE TERRY
Psychologist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. PHILLIP LUNSFORD MD
Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MRS. MELISSA FOX OTR/L
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 887-4801
DR. PREMJEET SINGH DHILLON MD
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
WILLIAM HUNTER EDWARDS
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
DONNA L TAMKIN MD
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. BRUCE C SLAGLE M.D.
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MS. EMILY S. OBERST PA-C
Physician Assistant
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858

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 Abraham Appleton's NPI number?

The NPI number for Abraham Appleton is 1912974643. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Abraham Appleton located?

Abraham Appleton practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-2841.

What is Abraham Appleton's specialty?

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

Is Abraham Appleton enrolled in Medicare?

Yes. Abraham 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.

What insurance does Abraham Appleton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Abraham 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 Abraham Appleton affiliated with any hospitals?

According to CMS data, Abraham Appleton is affiliated with Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Abraham Appleton was last updated on March 3, 2021. 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.