BENJAMIN DAVID APPLE M.D.
NPI 1083970651
Pediatrics in Denver, CO
NPI Status: Active since April 07, 2012
Contact Information
1400 JACKSON ST
DENVER, CO
ZIP 80206
Phone: (303) 388-4461
Fax: (303) 270-2206
- Individual
- Male
- Pediatrics
- PECOS Enrolled
About BENJAMIN APPLE
This page provides the complete NPI Profile along with additional information for Benjamin Apple, a pediatrician established in Denver, Colorado with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1083970651 assigned on April 2012. The practitioner's primary taxonomy code is 208000000X with license number 55570 (CO). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1083970651
- Provider Name
- BENJAMIN DAVID APPLE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1400 JACKSON ST DENVER, CO 80206
- Location Phone
- (303) 388-4461
- Location Fax
- (303) 270-2206
- Mailing Address
- 1400 JACKSON ST DENVER, CO 80206
- Mailing Phone
- (303) 388-4461
- Mailing Fax
- (303) 270-2206
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2012
- Last Update Date
- 03-07-2023
- Code Navigator
A pediatrician like Benjamin Apple is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 55570
- License State
- CO
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Benjamin Apple is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 80206 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.03
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $25.5
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 9 | 7 | 0 | 6 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 18 | 7 | 0 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 8 + 7 + 0 + 6 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1083970651 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053301739 | DR. MARC DAVID COHEN M.D. Individual | Internal Medicine (Rheumatology) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1174509186 | JAMES R JETT M.D. Individual | Internal Medicine (Pulmonary Disease) | 1400 JACKSON ST MEDICAL STAFF OFFICE DENVER, CO 80206 (303) 388-4461 |
| 1982651469 | JOSHUA NICHOLAS SCHWIESOW PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1400 JACKSON ST PHARMACY (A172) DENVER, CO 80206 (303) 398-1448 |
| 1538178900 | LYNN L BAUMEISTER RN, NP Individual | Registered Nurse | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1245349398 | DENISE LAINE RN, NP Individual | Nurse Practitioner (Family) | 1400 JACKSON ST SS, G-119 DENVER, CO 80206 (303) 398-1604 |
| 1386730299 | BRIAN D HOYT PHD Individual | Clinical Neuropsychologist | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1396835187 | GREGORY P COSGROVE MD Individual | Internal Medicine (Critical Care Medicine) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1841380649 | GARY R COTT MD Individual | Internal Medicine (Pulmonary Disease) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1346320397 | LIESEL A. DYAR PHD Individual | Psychologist (Clinical) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1689756389 | AMY B IKELHEIMER PHD Individual | Psychologist | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1548344047 | SUSAN J JORGENSON CNS Individual | Registered Nurse | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1336223155 | MARY D KLINNERT PHD Individual | Psychologist | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1265516926 | GARY L LARSEN MD Individual | Internal Medicine (Pulmonary Disease) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1689759318 | HENRY MILGROM MD Individual | Pediatrics (Pediatric Allergy/Immunology) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1811074107 | ESTHER L LANGMACK MD Individual | Internal Medicine (Critical Care Medicine) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1528145539 | ANN L.W. MULLEN CNS Individual | Registered Nurse | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1114004108 | NOREEDN H NICOL NP Individual | Registered Nurse | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1356411409 | DAVID G TINKLEMAN MD Individual | Allergy & Immunology | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1841360005 | ROBERT M TATE MD Individual | Internal Medicine (Pulmonary Disease) | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
| 1699845123 | GEORGE SCOTT WORTHEN MD Individual | Internal Medicine | 1400 JACKSON ST DENVER, CO 80206 (303) 388-4461 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083970651, enumerated in the NPI registry as an "individual" on April 07, 2012
The provider is located at 1400 Jackson St Denver, Co 80206 and the phone number is (303) 388-4461
The provider's speciality is Pediatrics with taxonomy code 208000000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $102.03 and an average copayment of 25.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.