Doctor profile · Federal record
Dr. Paul Appleby, M.D.
Surgery Physician (CMS: General Surgery) · Surgery Physician · Surgery Physician · Sebastian, FL
- NPI 1366806242
- Accepts Medicare
- 10 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
14430 US Hightway 1
Sebastian, FL 329583289
(772) 581-8003
fax (772) 581-8005 - Additional location
-
2131 S 17Th St
Wilmington, NC 284017407
(910) 343-7000 - Additional location
-
2222 S Harbor City Blvd Ste 430
Melbourne, FL 329015591
(321) 344-8746
fax (321) 339-1932 - Additional location
-
3 Riverside Cir
Roanoke, VA 240164955
(540) 224-5170
fax (540) 983-8212 - Mailing address
-
14430 US Highway 1
Sebastian, FL 329583235
Show 1 more location
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- April 10, 2026
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (3)
- Florida #ME169386 · Virginia #0101272137 · North Carolina #218627
- Medicaid
- FL #123705900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366806242. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
341
Distinct HCPCS
6
Medicare allowed
$32,878
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 173 | 70 | $75 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 57 | 55 | $122 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $157 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 28 | $118 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | 14 | $47 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 14 | 13 | $85 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 42. This provider delivers 8.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
23
Total drug cost
$122
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 31 | 23 | $122 |
Hospital affiliations
Frequently asked questions
What is Dr. Paul Appleby's medical specialty?
Dr. Paul Appleby practices Surgery Physician in Sebastian, FL.
Where does Dr. Paul Appleby practice?
Dr. Paul Appleby practices at 14430 US Hightway 1, Sebastian, FL 329583289. Office phone: 7725818003.
What is Dr. Paul Appleby's NPI?
Dr. Paul Appleby's National Provider Identifier (NPI) is 1366806242, issued by NPPES.
Does Dr. Paul Appleby accept Medicare assignment?
Yes. Dr. Paul Appleby accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Appleby commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.