WILLIAM GRANT APPLEGARTH (M.D.) – Specialist, NPI 1255359733

WILLIAM GRANT APPLEGARTH (M.D.) is a healthcare provider. based in Valparaiso, Indiana. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 01039449A (IN). The NPI Number for WILLIAM GRANT APPLEGARTH (M.D.) is 1255359733

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM GRANT APPLEGARTH (M.D.)
NPI
1255359733
Phone
(219) 548-0360
Address
505 SILHAVY RD
Enumeration Date
17 July 2006
Last Update Date
5 April 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2195480360
Graduation Year
1990 (36 years ago)
PAC ID
4385619592
Group Practice PAC ID
6305811514
Professional Enrollment ID
I20070406000356
Address ID
IN463838017VA1861XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

247 DERMATOLOGY in IN

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Provider Addresses for WILLIAM GRANT APPLEGARTH (M.D.)

  • 505, Silhavy Road, Valparaiso, Porter County, Indiana, 46383, United States

    SUITE 800

    VALPARAISO, IN 463834460

    Phone: (219) 548-0360

    Fax: (219) 548-0358

    Type: Location

  • 1861 STURDY ROAD

    VALPARAISO, IN 463838017

    Phone: (219) 548-0360

    Fax: (219) 548-0358

    Type: Location

  • 1510, Michigan Avenue, La Porte, LaPorte County, Indiana, 46350, United States

    LA PORTE, IN 463505150

    Phone: (219) 324-4947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $1,725.

Total Amount is formed as General ($1,725) + Research ($0) + Ownership ($0) = $1,725.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($286).

Total Amount

$1,725

General + Research + Ownership

Payments

116

Total payment records

General Amount

$1,725

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070406000356IDermatologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,961298$0
88305Pathology examination of tissue using a microscope, intermediate complexity1,492771$0
99213Established patient office or other outpatient visit, 20-29 minutes1,315757$0
17000Destruction of precancer skin growth, 1 growth484369$0
99214Established patient office or other outpatient visit, 30-39 minutes470346$0
View full utilization report →

Insurance plans in this area (ZIP 46383)

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Provider's Procedures

WILLIAM GRANT APPLEGARTH (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIN17003Destruction of 2-14 skin growths2693401
DERMATOLOGYIN88304Pathology examination of tissue using a microscope, moderately low complexity4339

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305811514View full group profile
NameSpecialtyState
-IN
Physician AssistantIN

Reviews

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Frequently asked questions

What number should I use to identify WILLIAM GRANT APPLEGARTH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1255359733 for WILLIAM GRANT APPLEGARTH (M.D.).
Should I treat WILLIAM GRANT APPLEGARTH (M.D.) as an active provider?
Patients and plans typically see WILLIAM GRANT APPLEGARTH (M.D.) as active in the national extract.
How should patients interpret WILLIAM GRANT APPLEGARTH (M.D.)'s specialty?
The extract shows Other Service Providers for WILLIAM GRANT APPLEGARTH (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to WILLIAM GRANT APPLEGARTH (M.D.)?
WILLIAM GRANT APPLEGARTH (M.D.) is associated with Valparaiso, Indiana in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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