NPI registry status
Active
2026 NPPES data Otology & Neurotology Physician NPI 1538506498 MD
Verify on CMS → Eric Appelbaum, MD
Otology & Neurotology Physician in Marietta, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 344 in Otology & Neurotology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
410
Medicare Part D claims · 153 beneficiaries · Otology & Neurotology Physician avg: 421
MIPS score
92.9/100
▲ 9 pts above national avg 83.5 · Exceptional
Industry payments
$645
8 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Eric Appelbaum, MD reported a CMS MIPS final score of 92.9/100 - above the 83.5 national average - and filed 410 Medicare Part D claims in 2024.
- 92.9/100
- MIPS score · +9 vs avg
- 410
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥66th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Eric Appelbaum, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538506498), first enumerated 05/31/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 410 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 92.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$645 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538506498 · Otology & Neurotology Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1538506498
- ENUM-MID 2013
- TAX-TRACE 344
- MIPS-ABOVE 92.9/100
- RX-LIGHT 410
- BOOK-THIN 10 in Georgia
- PHOTO-FINISH Clifford Hume · ±0.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Richard Gurgel, …
Richard Gurgel, M.D.
92.1 MIPS pts
- Appelbaum · this…
Appelbaum · this provider
92.9 MIPS pts
- Clifford Hume · …
Clifford Hume
93.1 MIPS pts
- Eric Slattery, M…
Eric Slattery, M.D.
93.3 MIPS pts
- Deborah Eaton, M…
Deborah Eaton, MD
93.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Eric Appelbaum, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
93 ≥ 66th percentile 66% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Eric Appelbaum, MD sits
This provider among otology & neurotology physician peers
Across the 113 otology & neurotology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Eric Appelbaum, MD writes more Part D claims than 63% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one otology & neurotology physician peer from a representative sample of 60; the gold marker is Eric Appelbaum, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Eric Appelbaum, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Eric Appelbaum, MD?
High performer (top quartile)Primary specialty
Otology & Neurotology Physician
Medicare Part D claims
410 3% vs specialty avg
MIPS final score
92.9/100 9.4 pts vs avg
Specialty distribution in Georgia
How Otology & Neurotology Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Eric Appelbaum, MD's 2023 MIPS final score plotted against the Otology & Neurotology Physician national average
- MIPS Final Score
- 92.9/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1538506498 |
|---|---|
| Specialty | Otology & Neurotology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/31/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.9348
Final Score
Measured-score avg: 83.5
80.3814
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Eric Appelbaum, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Wellstar Medical Group LLC
Hiram, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Eric Appelbaum, MD. Source: openpaymentsdata.cms.gov.
Total received
$645
Largest payer
iotaMotion, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
410
Total Claims
$7K
Total Drug Cost
153
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 446.033
- Total Day Supply
- 5,837
- Generic Drug Cost
- $6K
- Opioid Claims
- 72 (17.6% rate)
- Antibiotic Claims
- 81
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 11, 65-74: 73, 75-84: 51, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Eric Appelbaum, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Cefuroxime
Cefuroxime
66 claims
- Ondansetron Odt
Ondansetron Odt
65 claims
- Ofloxacin
Ofloxacin
42 claims
- Tramadol Hcl
Tramadol Hcl
37 claims
- Meclizine Hcl 23
Meclizine Hcl
23 claims
- Acetaminophen-Code… 18
Acetaminophen-Codeine
18 claims
- Ciprofloxacin-Dexa… 16
Ciprofloxacin-Dexamethasone
16 claims
- Methylprednisolone 16
Methylprednisolone
16 claims
| Drug | Claims |
|---|---|
| Cefuroxime Cefuroxime Axetil | 66 |
| Ondansetron Odt Ondansetron | 65 |
| Ofloxacin | 42 |
| Tramadol Hcl | 37 |
| Meclizine Hcl | 23 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 18 |
| Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth | 16 |
| Methylprednisolone | 16 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 14 |
| Mometasone Furoate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otology & Neurotology Physician Overview
How Eric Appelbaum, MD fits within the Otology & Neurotology Physician landscape nationally.
344
Otology & Neurotology Physician Providers in US
47
States with Otology & Neurotology Physician
421
Avg Claims per Provider
Eric Appelbaum, MD's 410 claims are below the specialty average of 421.
Nationwide Otology & Neurotology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Appelbaum, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (92.9 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Otology & Neurotology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Appelbaum.
One of 10 Otology & Neurotology Physician providers enrolled in Georgia, 5 are shown here.
Dr. Michael Canfarotta
MD
Roswell, GA
Dr. Blanca Durand
M.D.
Stockbridge, GA
Miriam Featherstone
Atlanta, GA
Dr. Rustin Kashani
MD
Atlanta, GA
Dr. William Moretz
MD
Augusta, GA
Compare Otology & Neurotology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Eric Appelbaum, MD's specialty? ▼
Eric Appelbaum, MD specializes in Otology & Neurotology Physician and practices in Marietta, Georgia. Credentials: MD.
How much does Eric Appelbaum, MD prescribe under Medicare Part D? ▼
In 2024, Eric Appelbaum, MD wrote 410 Medicare Part D claims totaling $7K in drug costs for 153 beneficiaries.
What is Eric Appelbaum, MD's Medicare quality score? ▼
Eric Appelbaum, MD has a CMS MIPS Final Score of 92.9/100 (Quality: 80.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Eric Appelbaum, MD located? ▼
Eric Appelbaum, MD is located at 699 CHURCH ST NE STE 340, Marietta, GA, 30060. Phone: (678) 355-1620.
What is Eric Appelbaum, MD's NPI number? ▼
Eric Appelbaum, MD's National Provider Identifier (NPI) is 1538506498, issued on 05/31/2013.
Does Eric Appelbaum, MD prescribe opioids? ▼
Yes, Eric Appelbaum, MD had 72 opioid claims in 2024 with an opioid prescribing rate of 17.6%.
How many Otology & Neurotology Physician providers are there in the US? ▼
There are 344 Otology & Neurotology Physician providers across 47 states in the US. The average Otology & Neurotology Physician provider writes 421 Medicare Part D claims per year.
What drugs does Eric Appelbaum, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Eric Appelbaum, MD's most frequently prescribed drugs include Cefuroxime, Ondansetron Odt, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Eric Appelbaum, MD accept Medicare? ▼
Eric Appelbaum, MD appears in CMS Medicare data with 410 Part D claims and 153 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Eric Appelbaum, MD's credentials? ▼
Eric Appelbaum, MD's NPI is 1538506498 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.