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Matthew Applegate , ACNP

Nurse Practitioner - Acute Care • Tyler, TX

Active NPI 1821461070 Individual Practitioner Male Practitioner
Practice location in NPPES

700 Olympic Plaza Cir Ste 407
Tyler, TX 757011952

Call 9035924460 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir Ste 407

Tyler, TX 757011952

Telephone 9035924460
Organization at the Same NPPES Address or Phone
Gastroenterology Associates Of Tyler Pa Facility NPI 1649308842

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $23,306 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2022.

Paid by Medicare

About $14,528 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

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, 2022.

30-day fills

36 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

$162 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Matthew Applegate 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Matthew Applegate 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Tyler and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner - Acute Care in Tyler, TX (2024, 19 clinicians with data). Median for this group: 481. Middle half: 88 to 1,729.

Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 974 clinicians with data). Median for this group: 142. Middle half: 44 to 542.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner - Acute Care in Tyler, TX (2024, 19 clinicians with data). Median for this group: $39,921. Middle half: $1,604 to $624,476.

A lower Part D drug cost than 85% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 974 clinicians with data). Median for this group: $8,232. Middle half: $459 to $60,333.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Matthew Applegate are from 2022.

53 active clinicians are listed under Nurse Practitioner - Acute Care with a practice address in Tyler, TX (3,245 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

13.2% of these 53 clinicians have the CMS telehealth indicator.

69.8% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B · Data Year 2022
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2021 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, 2017–2022; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
188 165 $168.78 $74.49
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
77 74 $217.09 $30.69
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
53 51 $57.26 $16.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
40 40 $236.97 $92.57
99284 Emergency department visit with moderate level of medical decision making
15 14 $1154.00 $100.33
81003 Automated urinalysis test
14 14 $8.71 $2.23
99283 Emergency department visit with low level of medical decision making
14 14 $679.00 $59.31

Source: CMS Part B by Provider and Service, 2022; 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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 13 69 $87.97 12
Azithromycin Azithromycin 12 60 $40.80 12
Promethazine Hcl Promethazine Hcl 11 78 $33.10 —

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

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

License # reported to NPPES TX AP129439
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20151203003006

Enrollment State Jurisdiction

TX

PECOS Control ID

6406156090

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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.

1 listed
Dr. David Lundy , MD

Internal Medicine - Gastroenterology

NPI 1881653426

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at 700 OLYMPIC PLAZA CIR STE 407, TYLER, TX 757011952 (Tel: 9035924460)

📍
Updated Business Mailing Address June 20, 2017

Registered at 700 OLYMPIC PLAZA CIR STE 407, TYLER, TX 757011952 (Tel: 9035924460)

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as MATTHEW APPLEGATE, ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Nurse Practitioner (license number reported to NPPES: TX AP129439)

âś…
NPI Profile Active November 10, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 10, 2015

Registered at 700 OLYMPIC PLAZA CIR STE 407, TYLER, TX 757011952 (Tel: 9035924460)

📍
Business Mailing Address (Initial Record) November 10, 2015

Registered at 700 OLYMPIC PLAZA CIR STE 407, TYLER, TX 757011952 (Tel: 9035924460)

👤
Provider Name / Credentials (Initial Record) November 10, 2015

Recorded as MATTHEW APPLEGATE, ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2015

Nurse Practitioner (license number reported to NPPES: TX 724285)

🟢
Initial NPI Registration & Enumeration November 10, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821461070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2015
Last Update: June 20, 2017
Sole Proprietor: Yes

Other Nurse Practitioner - Acute Care Specialists in Tyler

All Nurse Practitioner - Acute Care Specialists in Tyler

Mailing Address

700 Olympic Plaza Cir Ste 407

Tyler, TX 757011952

Phone: 9035924460

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.