LAWRENCE D APPEL MD
NPI 1952375453
Internal Medicine in Harrisburg, PA

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
4300 LONDONDERRY RD, HARRISBURG, PA 17109(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: January 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2021, Dec 6, 2018, Feb 12, 2018 (3 updates tracked since 2018).

About Lawrence D Appel Md NPPES

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

LAWRENCE D APPEL MD (NPI 1952375453) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD445949) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1992).

NPPES Registry Identity

NPI1952375453
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLAWRENCE D APPELCredential: MD
Location Address4300 LONDONDERRY RDHarrisburg, PA 17109
Mailing Address4300 Londonderry RdHarrisburg, PA 17109-5317 · (717) 231-8772 · Fax (717) 231-8435
Fax(717) 231-8435
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1992
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 16, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2021
NPI 1952375453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD445949 Licensed in GA · 058568 Licensed in MA · 150943
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 058568 (GA)
4300 LONDONDERRY RD, Harrisburg, PA 17109

Other Names 1

Professional Name (2)Larry D Appel

Other Identifiers 9

MedicaidG58568SC
OtherP00803273GA · Rr Medicare
OtherP00346175GA · Rr Medicare
Medicaid589895032AGA
Medicaid589895032BGA
Other10067413GA · Amerigroup
Medicaid102726301PA
Medicaid3165825MA
Other366788GA · Wellcare

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

Lawrence D Appel 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 ID4284643990
PECOS Enrollment IDI20120809000071
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.

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.
100 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Occupational Therapy Assistant
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Physical Therapist
4300 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Hospitalist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Registered Nurse (Rehabilitation)
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Physical Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109

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 Lawrence Appel's NPI number?

The NPI number for Lawrence Appel is 1952375453. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Larry D Appel.

Where is Lawrence Appel located?

Lawrence Appel practices at 4300 Londonderry Rd, Harrisburg, PA 17109. The listed phone number is (717) 231-8772.

What is Lawrence Appel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lawrence Appel enrolled in Medicare?

Yes. Lawrence 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.

Is Lawrence Appel affiliated with any hospitals?

According to CMS data, Lawrence Appel is affiliated with Upmc Pinnacle Hospitals and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Lawrence Appel was last updated on January 16, 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.