Medicare Enrolled

Dr. Gordon Appelbaum, M.D.

Emergency Medicine · Oceanside, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4171 OCEANSIDE BLVD, Oceanside, CA 92056
7602166253
In practice since 2006 (20 years)
NPI: 1245200674 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Appelbaum from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Appelbaum

Dr. Gordon Appelbaum is an emergency medicine specialist in Oceanside, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Appelbaum performed 1,865 Medicare services across 1,675 unique beneficiaries.

Between the years covered by Open Payments, Dr. Appelbaum received a total of $427 from 4 pharmaceutical and/or device companies across 5 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Appelbaum is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 2% volume in CA $427 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,865
Medicare services
Top 2% in CA for emergency medicine
1,675
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~93 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
217 $98 $198
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
206 $124 $284
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
204 $68 $174
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
155 $80 $198
SARS-CoV-2 immunoassay test
A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus.
147 $34 $196
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
127 $2 $29
Chest X-ray, 2 views
An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall.
104 $25 $153
Influenza virus nucleic acid detection test
A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus.
80 $93 $250
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
63 $0 $16
Strep A nucleic acid amplification test
A laboratory test that uses nucleic acid amplification to detect the presence of Group A Streptococcus bacteria. This method identifies the genetic material of the bacteria to determine if an infection is present.
51 $34 $102
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
47 $8 $50
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
40 $10 $52
New patient office visit, complex (60-74 min) 39 $185 $359
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
38 $10 $20
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
37 $11 $114
Albuterol inhalation solution, 1 mg
A unit dose of FDA-approved albuterol solution administered via durable medical equipment for inhalation.
36 $0 $22
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
30 $8 $25
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
29 $142 $304
Vaccine administration
The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself.
24 $13 $46
Diphtheria and tetanus vaccine (7 years or older)
A vaccine administered to individuals aged 7 and older to provide protection against diphtheria and tetanus infections.
24 $18 $65
Emergency department visit, moderate complexity
An emergency department visit for an established or new patient involving a moderate level of medical decision making.
22 $95 $913
Ear wax removal by washing
This procedure involves the removal of impacted ear wax using a washing technique.
21 $16 $149
Inhalation treatment for airway obstruction or sputum production
A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production.
20 $7 $150
Emergency department visit, high complexity
An emergency department visit involving a high level of medical decision making.
18 $138 $1,362
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
16 $30 $153
Rib X-ray, minimum 3 views
An X-ray imaging test of the ribs on one side of the body. The procedure includes a minimum of three different views to capture detailed images.
13 $32 $195
Foot X-ray, 3+ views
An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints.
13 $26 $146
Simple repair of small surface wound
A minor surgical procedure to close a small cut or wound on the scalp, neck, trunk, arms, or legs that is 2.5 cm or less in length.
11 $63 $399
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
11 $26 $105
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
11 $43 $189
Emergency department visit, low level of medical decision making
An emergency department visit for a patient requiring a low level of medical decision making.
11 $51 $460
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2020 ↗
$427
Total received (2019-2020)
Avg $214/year across 2 years
Top 20% in CA for emergency medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
4
Companies
5
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$427 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2020
$124
2019
$303

Payments by company (2020)

Consulting
Speaking
Meals & Travel
Research
PORTOLA PHARMACEUTICALS, LLC
$124
Top 3 companies account for 100.0% of 2020 payments
All-time payments by company (2019-2020) ›
Edwards Lifesciences Corporation
$152
Biosense Webster, Inc.
$139
PORTOLA PHARMACEUTICALS, LLC
$124
Abbott Laboratories
$12
Top 3 companies account for 97.2% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · Carto 3 System · Confirm Rx · Edwards SAPIEN 3 Transcatheter Heart Valve
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an emergency medicine specialist in Oceanside?
Compare emergency medicines in the Oceanside area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Emergency medicines within 10 mi
254
Per 100K population
7.7
County median income
$102,285
Nearest hospital
TRI-CITY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2020
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Appelbaum is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 20% of CA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Appelbaum experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Appelbaum performed 217 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Appelbaum receive payments from pharmaceutical companies?
Yes. Dr. Appelbaum received a total of $427 from 4 companies across 5 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Appelbaum's costs compare to other emergency medicines in Oceanside?
Dr. Appelbaum's average Medicare payment per service is $60. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Appelbaum) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →