Paul Appleby, MD - Medicare General Surgery in Roanoke, VA

Paul Appleby, MD is a medicare enrolled "Surgery" physician in Roanoke, Virginia. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Musc Community Physicians and his current practice location is 3 Riverside Cir, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 224-5170.

Paul Appleby is licensed to practice in Virginia (license number 0101272137) 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
3 Riverside Cir,
Roanoke, VA 24016-4955
(540) 224-5170
(540) 983-8212

Map and Direction




Physician's Profile

Full NamePaul Appleby
GenderMale
SpecialityGeneral Surgery
Experience8 Years
Location3 Riverside Cir, Roanoke, Virginia
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 graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1366806242
  • Provider Enumeration Date: 04/07/2016
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204127137
  • Enrollment ID: I20220908002903

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)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence HealthColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Musc Community Physicians6507260668793

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 NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

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
213 S Jefferson St Ste 1006,
Roanoke, VA 24011-1713

Ph: (540) 224-5715
Paul Appleby, MD
3 Riverside Cir,
Roanoke, VA 24016-4955

Ph: (540) 224-5170

Reviews and Comments


Surgery Doctors in Roanoke, VA

Kirshan K Tayal, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014
Phone: 540-981-7544    
Dr. Guy Katz, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 3 Riverside Cir, Roanoke, VA 24016
Phone: 540-224-5170    Fax: 540-983-8212
Mark Edward Hamill, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014
Phone: 540-981-7434    Fax: 540-981-8681
Heather Lynn Geist, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 3 Riverside Cir, Roanoke, VA 24016
Phone: 540-224-5170    Fax: 540-983-8212
Roxanne Davenport, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3 Riverside Circle, Roanoke, VA 24016
Phone: 540-224-5170    Fax: 540-983-8212
John Stephen Rudderow,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3 Riverside Cir, Roanoke, VA 24016
Phone: 972-978-8758    
Jessica Grace Wright,
Surgery
Medicare: Medicare Enrolled
Practice Location: 3 Riverside Cir, Roanoke, VA 24016
Phone: 540-224-5170    Fax: 540-983-8212

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.