Active NPI 1457602914 Individual Practitioner Female Practitioner

Claudia M Applegate , PA-C

Physician Assistant • Troy, MI

Professional Overview & Biography Verified Profile Summary

Claudia Applegate, PA-C is a certified Physician Assistant practicing in Troy, MI. With approximately 14 years of clinical experience since completing medical education in 2012, Claudia Applegate delivers high-quality medical care to the local community at 1719 W BIG BEAVER RD.

Claudia Applegate maintains professional affiliations with Northstar Anesthesia Of Michigan Iii Pllc, Nsa Pain Services Of Michigan Iii, Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1719 W Big Beaver Rd

Troy, MI 480843510

Telephone 2484580400

Associated Practice Facility / Clinic

🏢 Apex Anesthesia Services Pllc Facility NPI 1811121221

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Troy, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +1.9 yrs vs City Avg

City Avg: 12.1 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

239 Specialists

Practicing in Troy, MI (7057 Statewide)

Telehealth Adoption Rate

8.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Applegate (14 Years) 14 Yrs

Troy Specialty Average (12.1 Years) 12.1 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	193	143	$704.11	$81.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	71	$703.00	$83.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$962.00	$114.44

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	295	203	$703.00	$83.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	57	$703.00	$84.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$962.00	$115.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$854.00	$68.46

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	55	52	$703.00	$83.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$703.00	$85.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	110	$179.00	$55.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	101	$267.00	$80.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	90	$267.00	$69.14
99213 Established patient office or other outpatient visit, typically 15 minutes	126	96	$179.00	$44.48
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$207.93	$42.33

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	216	169	$259.00	$74.57
99213 Established patient office or other outpatient visit, typically 15 minutes	181	156	$173.00	$49.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	107	$259.00	$68.83
99213 Established patient office or other outpatient visit, typically 15 minutes	71	54	$173.00	$44.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$432.00	$116.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$345.00	$81.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$432.00	$115.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	521	342	$246.00	$49.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$423.00	$81.15
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$246.00	$44.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$546.00	$125.49
62323 Injection of substance into lower spine canal using imaging guidance	15	15	$1719.00	$82.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$334.00	$93.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$510.00	$58.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	195	$239.00	$47.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	117	$244.00	$69.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$530.00	$118.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$411.00	$73.70
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$239.00	$43.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	25	$495.00	$54.43
62323 Injection of substance into lower spine canal using imaging guidance	16	15	$723.00	$85.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$324.00	$93.15
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	15	12	$495.00	$42.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006411

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Nsa Pain Services Of Michigan Iii, Pllc

10000 Telegraph Rd, Taylor, MI 481803330

Phone: 2146870001

Northstar Anesthesia Of Michigan Iii Pllc

3601 W 13 Mile Rd, Royal Oak, MI 480736712

Phone: 2146870001

Northstar Anesthesia Of Michigan Iii Pllc

33155 Annapolis St, Wayne, MI 481842405

Phone: 2146870001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Neshan Ohanian , MD

Anesthesiology

NPI 1043289549

Doctor of Medicine (M.D.)

Dr. Daniel Sapeika , MD

Anesthesiology - Pain Medicine

NPI 1043463110

Doctor of Medicine (M.D.)

Dr. Moumen Asbahi , MD

Anesthesiology - Critical Care Medicine

NPI 1073744827

Doctor of Medicine (M.D.)

Anne Kuzma , NP

Nurse Practitioner

NPI 1114402468

Nurse Practitioner

Dr. Jason Haus , MD

Anesthesiology

NPI 1194043091

Doctor of Medicine (M.D.)

Dr. Artin Bastani , MD

Anesthesiology

NPI 1831417963

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2015

Registered at 1719 W BIG BEAVER RD, TROY, MI 480843510 (Tel: 2484580400)

📍

Updated Business Mailing Address September 17, 2015

Registered at 1719 W BIG BEAVER RD, TROY, MI 480843510 (Tel: 2484580400)

👤

Provider Name / Credentials Updated September 17, 2015

Recorded as CLAUDIA APPLEGATE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2015

Physician Assistant (License #5601006411 in MI)

🟢

Initial NPI Registration & Enumeration September 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457602914

Entity Type:

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

Enumeration Date: September 25, 2012

Last Update: September 17, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1719 W Big Beaver Rd

Troy, MI 480843510

Phone: 2484580400

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.