NPPES file of Aug 9, 2026

Sheila A. Apicella, MD

Otolaryngology Physician · New York, NY

Sheila A. Apicella, MD is an otolaryngology physician with a practice address in New York, New York, and NPI 1538272273, issued on Aug 16, 2006. Check the license (New York 209527-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1538272273
Name
Sheila A. Apicella
Credential
MD
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
209527-1 NY
Self-reported in NPPES; status is on the state search
Practice location
36A East 36TH Street, New York, NY 10016
Phone
(212) 889-8575
Enumerated
Aug 16, 2006
Record last updated
Aug 25, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(212) 686-3292
Medicare enrollment
Enrolled (PECOS I20040909000017); accepts Medicare assignment
Medical or professional school
New York University School Of Medicine, 1995
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 36A East 36TH Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lane Krevitt, MDOtolaryngology Physician1801909544
  2. Robert Pincus, MDOtolaryngology Physician1962516237
  3. Neil Sperling, M.D.Otology & Neurotology Physician1932212651

Verify Sheila A. Apicella in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 209527-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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7% more Medicare Part D claims than the average otolaryngology physician in 2024

580 Medicare Part D claims for 232 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D.

  1. Sheila Apicella580
  2. Specialty average541

Most prescribed

  1. Ipratropium Bromide113 claims
  2. Prednisone69 claims
  3. Famotidine68 claims
  4. Azelastine Hcl54 claims
  5. Fluticasone Propionate53 claims
  6. Amoxicillin-Clavulanate Potass44 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 91.3 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%91.7
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $255.36

2 payments; by number, the most common kind was food and beverage; the largest payer was Cambridge Interventional LLC. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sheila Apicella$255.36
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. North Shore-Lij Medical PCEast Setauket, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Otolaryngology Physician providers in New York

There are 765 otolaryngology physician records in New York.

Other otolaryngology physician records in New York

  1. Michel Abboud, MDNew York, NY1619506573
  2. Samer Abou Rizk, M.D.Brooklyn, NY1669087292
  3. Allan Abramson, MDNew Hyde Park, NY1366513764
  4. Sara Abu GhanemBrooklyn, NY1114442621
  5. Benjamin Acker, D.O.Port Jefferson Station, NY1104057439
  6. Kayla Ackerman, MDOneida, NY1124525662
  7. Mayer Adler, MDBrooklyn, NY1144390014
  8. Ali Ahmadizadeh, MDPlainview, NY1376598805
  9. Nigar Ahmedli, MDRochester, NY1790164341
  10. Ayham Al Afif, MD, MSC. FRSCSBuffalo, NY1518582873

Common questions

What is Sheila A. Apicella, MD's NPI number?

Sheila A. Apicella, MD's National Provider Identifier (NPI) is 1538272273, issued on Aug 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sheila A. Apicella, MD located?

The NPPES record lists a practice address at 36A East 36TH Street, New York, NY, 10016. Phone: (212) 889-8575. Providers update this record themselves, so call before visiting.

How can I verify Sheila A. Apicella, MD's license?

NPPES lists New York license number 209527-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sheila A. Apicella, MD prescribe under Medicare Part D?

In 2024, Sheila A. Apicella, MD had 580 Medicare Part D claims for 232 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Sheila A. Apicella, MD's MIPS final score?

The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.