Active NPI 1013178052 Individual Practitioner Male Practitioner

Dr. Peter James Apel , MD, PhD

Orthopaedic Surgery - Hand Surgery • Roanoke, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Apel, MD, PhD is a certified Orthopaedic Surgery - Hand Surgery practicing in Roanoke, VA. With approximately 20 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 2006, Dr. Apel delivers high-quality medical care to the local community at 2331 FRANKLIN RD SW.

Dr. Apel is affiliated with Carilion Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, incision of tendon covering, release and/or relocation of hand nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2331 Franklin Rd Sw

Roanoke, VA 240141111

Telephone 5405106200

Fax 5408575306

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1851621130

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -9.4 yrs vs City Avg

City Avg: 29.4 Yrs

State Avg: 20.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Roanoke, VA (92 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Apel (20 Years) 20 Yrs

Roanoke Specialty Average (29.4 Years) 29.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$72.57	$61.30
26055 Incision of tendon covering	29	19	$1141.07	$232.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$92.85	$86.88
64721 Release and/or relocation of hand nerve	23	20	$1273.59	$425.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$93.33	$78.25
99284 Emergency department visit with moderate level of medical decision making	11	11	$376.73	$114.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$67.32	$60.19
26055 Incision of tendon covering	32	26	$685.38	$233.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$108.75	$89.06
64721 Release and/or relocation of hand nerve	19	18	$458.37	$361.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$106.67	$80.18
64721 Release and/or relocation of hand nerve	14	14	$1480.57	$262.52
64718 Release and/or relocation of elbow nerve	11	11	$1181.36	$595.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$72.38	$66.29
26055 Incision of tendon covering	19	13	$562.00	$248.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$105.21	$97.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$109.67	$80.95
64721 Release and/or relocation of hand nerve	18	16	$360.72	$336.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$43.93	$36.05
64721 Release and/or relocation of hand nerve	11	11	$989.18	$300.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	54	$73.90	$65.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	38	$42.40	$36.06
26055 Incision of tendon covering	34	27	$586.76	$262.79
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$72.71	$48.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$108.75	$83.79
64721 Release and/or relocation of hand nerve	24	23	$409.29	$388.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$106.40	$96.61
64721 Release and/or relocation of hand nerve	16	14	$925.88	$252.49
64718 Release and/or relocation of elbow nerve	16	14	$1079.00	$543.64
20550 Injection into tendon or ligament	15	11	$53.33	$35.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$166.55	$136.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$73.50	$50.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	42	$40.67	$26.00
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$72.37	$51.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$103.00	$79.70
64721 Release and/or relocation of hand nerve	23	23	$930.35	$404.74
26055 Incision of tendon covering	20	15	$604.10	$239.18
26055 Incision of tendon covering	20	11	$567.00	$191.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$109.00	$72.27
20550 Injection into tendon or ligament	14	11	$50.00	$35.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	86	$66.42	$49.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	57	$40.00	$25.32
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$67.76	$50.30
20550 Injection into tendon or ligament	41	28	$59.76	$32.77
64721 Release and/or relocation of hand nerve	36	34	$983.03	$403.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$94.00	$78.18
26055 Incision of tendon covering	24	20	$567.00	$243.18
26055 Incision of tendon covering	15	14	$562.00	$311.61
20600 Aspiration and/or injection of fluid from small joint	13	13	$50.15	$33.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$102.00	$75.68
99283 Emergency department visit with low level of medical decision making	12	12	$96.00	$61.52
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$62.36	$41.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	99	$67.08	$49.86
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$68.18	$49.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$40.55	$24.95
20550 Injection into tendon or ligament	37	32	$53.38	$37.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$94.00	$78.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$99.71	$76.16
26055 Incision of tendon covering	23	18	$567.00	$249.99
20605 Aspiration and/or injection of medium joint or joint capsule	21	19	$52.52	$35.15
64721 Release and/or relocation of hand nerve	20	20	$946.45	$369.40
26055 Incision of tendon covering	13	12	$562.00	$299.39
64718 Release and/or relocation of elbow nerve	11	11	$1079.00	$486.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	116	$66.89	$50.36
99202 New patient office or other outpatient visit, typically 20 minutes	118	118	$67.76	$50.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	47	$41.06	$24.87
20550 Injection into tendon or ligament	36	31	$56.94	$38.52
64721 Release and/or relocation of hand nerve	26	26	$981.27	$393.16
26055 Incision of tendon covering	23	18	$562.00	$274.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$102.91	$75.69

Medical Specialties & State Licenses

CMS Verified: 2023-12-27

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License VA 0101257592

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NC 2013-01076

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License PA MD449712

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NY 271489

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1013178052 (VA)

Commercial Insurance / Payer ID Healthkeepers

1013178052 (VA)

Commercial Insurance / Payer ID Tricare

540506332199 (VA)

Commercial Insurance / Payer ID Umwa

1013178052 (VA)

Commercial Insurance / Payer ID Healthkeepers Plus

1013178052 (VA)

Commercial Insurance / Payer ID Anthem Bcbs

1013178052 (VA)

Commercial Insurance / Payer ID Va Premier

1013178052 (VA)

Commercial Insurance / Payer ID United Healthcare

1013178052 (VA)

Commercial Insurance / Payer ID Aetna

1013178052 (VA)

Commercial Insurance / Payer ID Southern Health/carenet/carelink/coventry

1013178052 (VA)

Hospital & Practice Group Affiliations

Carilion Medical Center

2017 S Jefferson St, Roanoke, VA 240142419

Phone: 5409817128

Carilion Medical Center

101 Elm Ave, Roanoke, VA 240132222

Phone: 5402244380

Carilion Medical Center

2017 Jefferson St Sw, Roanoke, VA 240142419

Phone: 5409817925

Carilion Medical Center

180 Floyd Ave, Rocky Mount, VA 241511318

Phone: 5404835277

Carilion Medical Center

2331 Franklin Rd Sw, Roanoke, VA 240141111

Phone: 5402245170

Carilion Medical Center

1906 Belleview Ave Se, Roanoke, VA 240141838

Phone: 5409817000

Carilion Medical Center

101 Elm Ave Se, Roanoke, VA 240132222

Phone: 5402246780

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

Kelly Kugach

Podiatrist - Foot & Ankle Surgery

NPI 1003445594

Kathryn Hoyt

Physician Assistant - Surgical

NPI 1013454776

Jason Peery , PA-C

Physician Assistant - Surgical

NPI 1023209368

Physician Assistant (Certified)

Dr. Ryan Putnam , MD

Orthopaedic Surgery

NPI 1043369853

Doctor of Medicine (M.D.)

John Conrad , PA

Physician Assistant - Surgical

NPI 1043582422

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address December 27, 2023

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2023

Orthopaedic Surgery (License #2013-01076 in NC)

✅

NPI Profile Active March 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2016

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5407251226)

📍

Updated Business Mailing Address March 23, 2016

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5407251226)

👤

Provider Name / Credentials Updated March 23, 2016

Recorded as PETER APEL, M.D., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2016

Orthopaedic Surgery (License #MD449712 in PA)

🟢

Initial NPI Registration & Enumeration June 23, 2008

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: 1013178052

Entity Type:

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

Enumeration Date: June 23, 2008

Last Update: December 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

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.