Individual provider Active NPI

Benjamin Walker Appelo, MD

  • Ophthalmology Physician
  • Ocean Springs, MS
National Provider Identifier
1063909158
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME161231 Issued in FL
Practice address
3631 Bienville Blvd
Ocean Springs, MS 39564-5702
Phone
(228) 875-2020
Fax
(228) 875-2036
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME161231 FL Primary
Ophthalmology Physician 207W00000X 32386 MS
General Practice Physician 208D00000X 32455 NE

Addresses

Primary practice location

3631 Bienville Blvd
Ocean Springs, MS 39564-5702

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 292-5077

Other practice location 1

421 Delmas Ave
Pascagoula, MS 39567-4129
Phone (228) 769-2001

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other practice location 3

San Antonio Mil Med Center 3551 Roger Brooke Dr
McHe-ZDM-M
San Antonio, TX 78234
Phone (210) 292-5077

Other identifiers 3

IdentifierTypeStateIssuer
XM550OtherFLHFMG
XM560OtherFLHFPS
127343700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benjamin.w.appelo.mil@mail.mil Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230518000052 FL Practitioner - Ophthalmology 0345606372 Reassigns benefits to 3 organizations
I20231031002470 MS Practitioner - Ophthalmology 0345606372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Florida State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLC 701 clinicians
Health First Physician Specialties Inc 58 clinicians
Mississippi Eye Associates 2 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

3631 Bienville Blvd
Ocean Springs, MS 39564-5702
Phone (228) 875-2020

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32455NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 10, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 10, 2023 Accepting new patients
Mississippi Eye Associates Ophthalmology CurrentSince Oct 23, 2023 Accepting new patients

Locations

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

3631 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-0585

421 Delmas Ave
Pascagoula, MS 39567
Phone (228) 696-9224

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1063909158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-292-5077",
            "fax_number": "210-292-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-875-2020",
            "fax_number": "228-875-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Delmas Ave",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395674129",
            "country_code": "US",
            "telephone_number": "228-769-2001",
            "fax_number": "228-875-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "San Antonio Mil Med Center 3551 Roger Brooke Dr",
            "address_2": "MCHE-ZDM-M",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-292-5077",
            "fax_number": "210-292-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPELO",
        "first_name": "BENJAMIN",
        "middle_name": "WALKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME161231",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "32386",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "32455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "XM550",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFPS",
            "identifier": "XM560",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127343700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.w.appelo.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "government/work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "San Antonio Mil Med Center 3551 Roger Brooke Dr",
            "address_2": "MCHE-ZDM-M",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.