Active NPI 1780973420 Individual Practitioner Female Practitioner

Dr. Betsy Lynn Appel , MD

Surgery • Menomonee Falls, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Betsy Appel, MD is a certified Surgery practicing in Menomonee Falls, WI. With approximately 10 years of clinical experience since graduating from Medical College Of Wisconsin in 2016, Dr. Appel delivers high-quality medical care to the local community at N84W16889 MENOMONEE AVE.

Dr. Appel is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

N84w16889 Menomonee Ave

Menomonee Falls, WI 530512810

Telephone 2622517500

Fax 4144540152

Associated Practice Facility / Clinic

🏢 Medical Pharmacy Facility NPI 1194823138

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Menomonee Falls, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -23.6 yrs vs City Avg

City Avg: 33.6 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Menomonee Falls, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

94.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Appel (10 Years) 10 Yrs

Menomonee Falls Specialty Average (33.6 Years) 33.6 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$510.00	$103.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$240.00	$52.86
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$4370.00	$120.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$4490.00	$223.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$370.00	$74.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$875.00	$163.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$230.00	$50.00
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$4180.00	$164.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$485.00	$98.02
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$330.00	$82.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$720.00	$156.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	22	$355.00	$67.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$687.00	$157.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$220.00	$51.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$460.00	$105.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$835.00	$185.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$4020.00	$186.61
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$313.00	$86.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	22	$330.00	$69.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$645.00	$159.73
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$3830.00	$145.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$210.00	$54.56
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$295.00	$88.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	11	$1210.00	$208.75
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$768.00	$131.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$430.00	$104.81
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$2690.00	$177.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$407.00	$104.29
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$281.00	$72.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	14	$307.00	$63.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$389.00	$104.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$191.00	$43.63
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$272.78	$71.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$402.54	$100.10
45380 Biopsy of large bowel using an endoscope	11	11	$2820.00	$98.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	13	$292.00	$69.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$377.19	$103.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$182.00	$41.90
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$252.00	$69.80

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	58	58	$365.74	$100.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$197.00	$37.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$278.00	$69.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$173.83	$41.62
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$240.00	$69.90
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$380.00	$96.53

Medical Specialties & State Licenses

CMS Verified: 2023-06-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 57758

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100034038 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

N84 W16889 Menomonee Ave, Menomonee Falls, WI 530512810

Phone: 2622517500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Roxanne Phelps , OD

Optometrist

NPI 1003846171

Doctor of Optometry

Dr. Gary Stewart , MD

Surgery

NPI 1003848458

Doctor of Medicine (M.D.)

Dr. Janell Schulteis-Wilson , MD

Family Medicine

NPI 1003998519

Doctor of Medicine (M.D.)

Ashley Polomis , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013807700

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Timothy Ridolfi , MD

Colon & Rectal Surgery

NPI 1023190386

Doctor of Medicine (M.D.)

Courtney Hanson , APNP

Nurse Practitioner - Acute Care

NPI 1033404496

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2016

Registered at N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 530512810 (Tel: 2622517500)

📍

Updated Business Mailing Address August 25, 2016

Registered at N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 530512810 (Tel: 2622517500)

👤

Provider Name / Credentials Updated August 25, 2016

Recorded as BETSY APPEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2016

Surgery (License #57758 in WI)

🟢

Initial NPI Registration & Enumeration April 04, 2011

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: 1780973420

Entity Type:

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

Enumeration Date: April 04, 2011

Last Update: June 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

N84w16889 Menomonee Ave

Menomonee Falls, WI 530512810

Phone: 2622517500

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.