Active NPI 1427162189 Individual Practitioner Female Practitioner

Dr. Staci Appleton , MD

Internal Medicine • New Smyrna Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Staci Appleton, MD is a certified Internal Medicine practicing in New Smyrna Beach, FL. With approximately 36 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1990, Dr. Appleton delivers high-quality medical care to the local community at 405 DOWNING ST.

Dr. Appleton does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 Downing St
C/o Appleton Internal Medicine

New Smyrna Beach, FL 321687109

Telephone 3869573999

Fax 3864027920

Associated Practice Facility / Clinic

🏢 Volusia Neurologic Associates, P.a. Facility NPI 1134137367

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1990

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in New Smyrna Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +18.9 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

18 Specialists

Practicing in New Smyrna Beach, FL (10650 Statewide)

Telehealth Adoption Rate

38.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Appleton (36 Years) 36 Yrs

New Smyrna Beach Specialty Average (17.1 Years) 17.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	215	$216.22	$118.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	132	132	$234.04	$119.05
99213 Established patient office or other outpatient visit, typically 15 minutes	111	88	$145.43	$83.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	22	$40.05	$20.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$290.12	$166.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$108.00	$48.85
99495 Transitional care management services for problem of at least moderate complexity	11	11	$343.09	$188.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	246	$215.23	$120.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$231.55	$122.16
99213 Established patient office or other outpatient visit, typically 15 minutes	66	59	$145.12	$85.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	51	$292.08	$169.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	20	$39.00	$21.44
G0444 Annual depression screening, 5 to 15 minutes	24	24	$35.00	$17.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$111.75	$48.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$87.00	$53.30
99495 Transitional care management services for problem of at least moderate complexity	14	13	$329.00	$187.98
81002 Urinalysis, manual test	14	12	$10.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	239	$215.00	$120.60
99213 Established patient office or other outpatient visit, typically 15 minutes	223	162	$145.00	$85.73
G0444 Annual depression screening, 5 to 15 minutes	57	57	$35.00	$17.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$233.00	$122.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$87.00	$53.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$292.00	$170.85
99495 Transitional care management services for problem of at least moderate complexity	23	21	$329.00	$191.37
81002 Urinalysis, manual test	17	15	$10.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$34.00	$13.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	215	$144.76	$85.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	189	$215.00	$119.17
G0444 Annual depression screening, 5 to 15 minutes	116	116	$35.00	$17.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	45	$87.00	$52.45
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$34.00	$14.26
99496 Transitional care management services for problem of high complexity	12	11	$462.00	$266.40
99495 Transitional care management services for problem of at least moderate complexity	11	11	$329.00	$196.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	411	298	$214.74	$86.97
99213 Established patient office or other outpatient visit, typically 15 minutes	228	148	$145.00	$58.65
85610 Blood test, clotting time	68	15	$10.00	$4.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	15	$39.00	$21.66
G0444 Annual depression screening, 5 to 15 minutes	45	45	$35.00	$16.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$328.04	$141.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	568	358	$214.81	$102.23
99213 Established patient office or other outpatient visit, typically 15 minutes	276	180	$145.00	$69.74
85610 Blood test, clotting time	247	20	$10.00	$4.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	221	22	$39.00	$21.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$329.94	$156.33
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	58	42	$51.33	$24.47
G0444 Annual depression screening, 5 to 15 minutes	45	45	$35.00	$16.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	14	$49.00	$15.53
36415 Insertion of needle into vein for collection of blood sample	37	28	$10.00	$2.94
81002 Urinalysis, manual test	21	19	$10.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	20	19	$329.00	$153.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$233.00	$108.62
93000 Routine ekg using at least 12 leads including interpretation and report	18	16	$34.00	$16.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$87.00	$42.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$218.00	$102.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	685	361	$214.69	$95.85
99213 Established patient office or other outpatient visit, typically 15 minutes	266	170	$144.73	$64.93
85610 Blood test, clotting time	211	23	$10.00	$4.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	167	21	$39.00	$18.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$332.00	$147.41
36415 Insertion of needle into vein for collection of blood sample	61	45	$10.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	14	$49.00	$17.96
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$34.00	$15.06
81002 Urinalysis, manual test	28	27	$10.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	24	23	$329.00	$145.08
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	16	16	$15.00	$14.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$218.00	$97.10
69210 Removal of impacted ear wax	12	11	$95.83	$43.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	670	330	$215.00	$94.76
99213 Established patient office or other outpatient visit, typically 15 minutes	254	175	$145.00	$64.42
85610 Blood test, clotting time	165	15	$10.00	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	152	20	$39.00	$17.52
36415 Insertion of needle into vein for collection of blood sample	112	78	$10.00	$2.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	58	32	$107.00	$47.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$332.00	$145.70
81002 Urinalysis, manual test	52	51	$10.00	$3.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	14	$147.00	$64.27
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$34.00	$14.91
82044 Urine microalbumin (protein) analysis	18	17	$10.00	$6.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$218.00	$97.14
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	15	15	$15.00	$14.70
99239 Hospital discharge day management, more than 30 minutes	13	13	$217.00	$95.27
69210 Removal of impacted ear wax	13	12	$100.00	$41.94

Medical Specialties & State Licenses

CMS Verified: 2024-09-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME67829

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL ME0067829

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

377693000 (FL)

Commercial Insurance / Payer ID Bcbs

27109 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Internal Medicine (License #ME67829 in FL)

✅

NPI Profile Active September 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2015

Registered at 405 DOWNING ST, C/O APPLETON INTERNAL MEDICINE, NEW SMYRNA BEACH, FL 321687109 (Tel: 3869573999)

📍

Updated Business Mailing Address September 04, 2015

Registered at PO BOX 278, NEW SMYRNA BEACH, FL 32170 (Tel: 3869573999)

👤

Provider Name / Credentials Updated September 04, 2015

Recorded as STACI APPLETON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2015

Internal Medicine (License #ME67829 in FL)

🟢

Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427162189

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 19, 2006

Last Update: September 12, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 278

New Smyrna Beach, FL 32170

Phone: 3869573999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.