Dr. Nicolas Appleton , MD
Internal Medicine • Milan, TN
4039 Highland St
Milan, TN 383583485
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Nicolas Appleton is listed in NPPES under Internal Medicine.
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NPI assigned on September 19, 2005; this date does not establish years in practice.
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Published CMS data list 4,564 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 36415 — Insertion of needle into vein for collection of blood sample: 489 service units.
- 80053 — Blood test, comprehensive group of blood chemicals: 471 service units.
- 93010 — Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only: 369 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 32 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 7,795 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Lisinopril — 327 prescription fills, including refills.
- Amlodipine Besylate — 318 prescription fills, including refills.
- Atorvastatin Calcium — 314 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 130 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: 791. Middle half: 360 to 2,030.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 3,952 in 2020 to 4,564 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4039 Highland St
Milan, TN 383583485
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Tennessee, Hsc, College Of Medicine
1985
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
571 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $138,504 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $109,519 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
18,389 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$305,830 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $15.41 in 2021
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2021.
Years since graduation
41 years (graduated 1985)
CMS Doctors and Clinicians data list 1985 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Appleton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Appleton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Milan and Tennessee
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: 791. Middle half: 360 to 2,030.
Too few clinicians listed under Internal Medicine in Milan have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: $69,187. Middle half: $31,162 to $121,898.
Too few clinicians listed under Internal Medicine in Milan have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: $53,796. Middle half: $24,059 to $94,420.
Too few clinicians listed under Internal Medicine in Milan have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Tennessee (2024, 1,686 clinicians with data). Median for this group: 933. Middle half: 139 to 6,843.
Too few clinicians listed under Internal Medicine in Milan have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Internal Medicine in Tennessee (2024, 1,686 clinicians with data). Median for this group: $71,826. Middle half: $7,500 to $530,936.
Too few clinicians listed under Internal Medicine in Milan have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Internal Medicine with a practice address in Milan, TN (2,599 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 15% from 3,952 in 2020 to 4,564 in 2024.
- 2020: 3,952
- 2021: 3,300
- 2022: 4,204
- 2023: 4,910
- 2024: 4,564
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Medicare-allowed amount
Medicare-allowed amount increased 11% from $124,731 in 2020 to $138,504 in 2024.
- 2020: $124,731
- 2021: $104,100
- 2022: $125,764
- 2023: $158,605
- 2024: $138,504
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Paid by Medicare
Paid by Medicare increased 10% from $99,368 in 2020 to $109,519 in 2024.
- 2020: $99,368
- 2021: $80,895
- 2022: $101,780
- 2023: $123,048
- 2024: $109,519
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 7,616 in 2020 and 7,795 in 2024.
- 2020: 7,616
- 2021: 6,423
- 2022: 6,653
- 2023: 8,555
- 2024: 7,795
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30-day fills
30-day fills varied from year to year: 17,093 in 2020 and 18,389 in 2024.
- 2020: 17,093
- 2021: 15,100
- 2022: 14,993
- 2023: 19,857
- 2024: 18,389
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Part D drug cost
Part D drug cost varied from year to year: $306,822 in 2020 and $305,830 in 2024.
- 2020: $306,822
- 2021: $254,542
- 2022: $259,341
- 2023: $330,569
- 2024: $305,830
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2021 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $15.41.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
— | General | $15.41 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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36415
Insertion of needle into vein for collection of blood sample
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489 | 232 | $9.05 | $8.05 |
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80053
Blood test, comprehensive group of blood chemicals
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471 | 230 | $24.00 | $10.33 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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369 | 299 | $36.00 | $7.73 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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342 | 194 | $216.00 | $121.36 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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256 | 209 | $147.00 | $85.14 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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256 | 166 | $35.00 | $15.79 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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251 | 134 | $36.00 | $13.08 |
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82465
Cholesterol level
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199 | 128 | $12.00 | $4.26 |
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83718
Hdl cholesterol level
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199 | 128 | $22.00 | $8.03 |
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83036
Hemoglobin a1c level
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187 | 84 | $26.00 | $9.48 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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187 | 187 | $280.00 | $124.94 |
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G0444
Annual depression screening, 5 to 15 minutes
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172 | 172 | $40.00 | $17.96 |
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85610
Blood test, clotting time
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146 | 13 | $11.00 | $4.20 |
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81003
Automated urinalysis test
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137 | 80 | $9.00 | $2.18 |
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82043
Urine microalbumin (protein) level
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120 | 62 | $10.00 | $5.62 |
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82570
Creatinine level to test for kidney function or muscle injury
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120 | 62 | $14.00 | $5.05 |
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G0008
Administration of influenza virus vaccine
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90 | 86 | $60.00 | $29.78 |
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90662
Influenza vaccine split virus, preservative free
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89 | 84 | $100.00 | $79.20 |
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96372
Injection of drug or substance under skin or into muscle
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82 | 31 | $67.00 | $13.55 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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73 | 63 | $50.00 | $16.46 |
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84439
Thyroxine (thyroid chemical), free
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71 | 62 | $25.00 | $8.74 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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43 | 38 | $88.00 | $53.20 |
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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38 | 18 | $85.00 | $39.31 |
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85027
Complete blood cell count (red cells, white blood cell, platelets), automated test
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36 | 30 | $18.00 | $6.20 |
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G0103
Prostate cancer screening; prostate specific antigen test (psa)
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32 | 32 | $50.00 | $18.33 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lisinopril | Lisinopril | 327 | 28,087 | $2,147.55 | 104 |
| Amlodipine Besylate | Amlodipine Besylate | 318 | 26,511 | $1,741.98 | 94 |
| Atorvastatin Calcium | Atorvastatin Calcium | 314 | 27,080 | $3,811.41 | 93 |
| Pravastatin Sodium | Pravastatin Sodium | 240 | 21,012 | $3,748.57 | 71 |
| Omeprazole | Omeprazole | 230 | 19,543 | $3,532.65 | 69 |
| Gabapentin | Gabapentin | 228 | 6,945 | $2,071.33 | 45 |
| Metformin Hcl | Metformin Hcl | 211 | 18,025 | $1,096.13 | 62 |
| Levothyroxine Sodium | Levothyroxine Sodium | 205 | 17,650 | $1,471.98 | 63 |
| Metoprolol Tartrate | Metoprolol Tartrate | 196 | 16,960 | $921.36 | 61 |
| Clopidogrel | Clopidogrel Bisulfate | 180 | 14,950 | $2,506.81 | 53 |
| Simvastatin | Simvastatin | 173 | 14,848 | $1,366.74 | 47 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 159 | 14,114 | $2,370.49 | 51 |
| Furosemide | Furosemide | 154 | 11,820 | $813.88 | 49 |
| Pantoprazole Sodium | Pantoprazole Sodium | 146 | 11,390 | $2,171.22 | 43 |
| Losartan Potassium | Losartan Potassium | 143 | 12,678 | $1,519.18 | 44 |
| Alprazolam | Alprazolam | 142 | 4,239 | $784.28 | 17 |
| Tamsulosin Hcl | Tamsulosin Hcl | 136 | 11,166 | $2,626.05 | 37 |
| Allopurinol | Allopurinol | 129 | 11,445 | $1,562.46 | 36 |
| Tramadol Hcl | Tramadol Hcl | 122 | 2,800 | $911.38 | 17 |
| Metoprolol Succinate | Metoprolol Succinate | 121 | 10,807 | $2,051.32 | 36 |
| Carvedilol | Carvedilol | 120 | 10,465 | $1,112.39 | 36 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 119 | 3,049 | $2,711.32 | 19 |
| Escitalopram Oxalate | Escitalopram Oxalate | 112 | 8,880 | $1,359.16 | 34 |
| Alendronate Sodium | Alendronate Sodium | 107 | 7,790 | $1,086.38 | 28 |
| Meloxicam | Meloxicam | 98 | 7,560 | $526.26 | 27 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20070329000226
TN
0749384824
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant - Medical
Physician Assistant
Career & Practice History
NPI enumerated September 19, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
Po Box 400
Jackson, TN 383020400
Phone: 7314238697