ABRAHAM T APPLETON MD
NPI 1912974643
Orthopaedic Surgery - Orthopaedic Trauma in Sayre, PA
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
Specialties & Licenses
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Abraham Appleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Athens, PA 18810
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1245246644 (New York)
- 830 clinicians in this Medicare group
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.
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, PAMedicare 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.
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.
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.
SAYRE, PA 18840
SAYRE, PA 18840
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.
Which organization bills Medicare for Abraham Appleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Appleton reassigns Medicare benefits to Guthrie Medical Group, P.C. (Athens, PA). 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 Abraham Appleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Abraham T Appleton, MD · NPI 1912974643
Orthopaedic Trauma physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 1, 2006.
## Identity
- **NPI:** 1912974643 (Entity type: Individual)
- **Enumerated:** March 1, 2006
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Trauma · taxonomy 207XX0801X
- **State license:** MD424966 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 887-2841 · **Fax:** (570) 887-2079
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Guthrie Medical Group, P.C. (NPI 1962451153, Athens, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 1981
## Record status
- **NPPES last updated:** March 3, 2021
- **Other identifiers:** Medicaid 101162605 0001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1912974643) · Data from the CMS NPPES public registry.