Physician

Abraham T Appleton, MD

According to 2025 Medicare claims, Abraham Appleton, MD (NPI: 1912974643) practices orthopedic surgery, with the plurality of this provider's patient population coming from Bradford, PA. This provider's primary affiliated billing organization is GUTHRIE MEDICAL GROUP, P.C. (NPI: 1851343206; TIN: 250815795) and primary practice location at 18840-1698. Appleton is affiliated with the Humana Direct Contracting Entity, Inc. (ACO ID: D0203), participating under the REACH model.

Appleton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 71 traditional Medicare patients, billed 170 HCPCS/CPT codes, and received $60,439 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 16 prescription claims totaling $119 in drug costs. DME data shows 25 claims. Open Payments data shows 9 records totaling $1,785. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $61,146 and ending at $60,439. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $920 to $119. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.