Paul Appleby, MD - Medicare General Surgery in Sebastian, FL

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Paul Appleby, MD is a medicare enrolled "Surgery" physician in Sebastian, Florida. He went to Medical University Of South Carolina College Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Steward Medical Group Inc, Orlando Health Medical Group Inc and his current practice location is 14430 Us Hightway 1, Sebastian, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 581-8003.

Paul Appleby is licensed to practice in Florida (license number ME169386) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366806242.

Contact Information

Paul Appleby, MD
14430 Us Hightway 1,
Sebastian, FL 32958-3289
(772) 581-8003
(772) 581-8005

Map and Direction




Physician's Profile

Full NamePaul Appleby
GenderMale
SpecialityGeneral Surgery
Experience9 Years
Location14430 Us Hightway 1, Sebastian, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Appleby attended and graduated from Medical University Of South Carolina College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1366806242
  • Provider Enumeration Date: 04/07/2016
  • Last Update Date: 03/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204127137
  • Enrollment ID: I20240923002076

Medical Identifiers

Medical identifiers for Paul Appleby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366806242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 218627 (North Carolina)Secondary
208600000XSurgery 0101272137 (Virginia)Secondary
208600000XSurgery ME169386 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Steward Sebastian River Medical CenterSebastian, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Steward Medical Group Inc2860688728602
Orlando Health Medical Group Inc95370590841810

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Appleby allows following entities to bill medicare on his behalf.
Entity NameOrlando Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356654495
PECOS PAC ID: 2860688728
Enrollment ID: O20170602001215

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Appleby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Appleby, MD
14430 Us Highway 1,
Sebastian, FL 32958-3235

Ph: (772) 581-8003		Paul Appleby, MD
14430 Us Hightway 1,
Sebastian, FL 32958-3289

Ph: (772) 581-8003

Reviews and Comments


Surgery Doctors in Sebastian, FL

Dr. William Russell Phipps, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12920 Us Highway 1 Ste A, Sebastian, FL 32958
Phone: 321-727-7992    
Dr. Patrick W Domkowski, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 14430 Us Highway 1, Sebastian, FL 32958
Phone: 772-581-8003    Fax: 772-581-8005
Dr. Jason Mark Radecke, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 14430 Us Highway 1, Sebastian, FL 32958
Phone: 772-581-8003    
Dr. John D. Koziarski, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7765 144th St Unit 1, Sebastian, FL 32958
Phone: 772-388-3551    Fax: 772-388-3557

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.