Sheila Apicella, MD
NPI 1538272273 · Otolaryngology Physician · New York, NY
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sheila Apicella, MD is a Otolaryngology Physician provider in New York, NY (NPI 1538272273).
Provider details
- NPI number
- 1538272273
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 209527-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,525 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 546 | $103 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 180 | $127 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 173 | $218 |
| Removal of Impacted Ear Wax69210 | 154 | $52 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 115 | $144 |
| Removal of Impacted Cerumen (one Or Both Ears) By Physician on Same Date of Service As Audiologic Function TestingG0268 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 113 | 63 |
| Prednisone | 69 | 51 |
| Famotidine | 68 | 24 |
| Azelastine Hcl | 54 | 19 |
| Fluticasone Propionate | 53 | 30 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 44 | 33 |
| Fluocinolone Acetonide Oil | 33 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$255 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2011-08-25
Frequently asked questions
- What is Sheila Apicella's NPI number?
- Sheila Apicella's National Provider Identifier (NPI) is 1538272273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sheila Apicella's specialty?
- Sheila Apicella is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Sheila Apicella located?
- Sheila Apicella's practice location on file with NPPES is 36a East 36th Street, New York, NY 10016.
- What is Sheila Apicella's phone number?
- The practice phone number listed in the NPPES registry for Sheila Apicella is (212) 889-8575.
- Does Sheila Apicella accept Medicare?
- Sheila Apicella is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sheila Apicella's NPI active?
- Yes — Sheila Apicella's NPI (1538272273) is active in the NPPES registry as of the last update on 2011-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.