Nicole Ann Appelle, MD

2 locations · University of California San Francisco · UCSF Medical Group Business Services

Hospitals listed: Marinhealth Medical Center · UCSF Medical Center. That is not proof they admit you there this week.

3 plans · 1 carrier

Licence A98620 · Current

Licensed to practise in California · since 2007 · expires 2028-12-31 · George Washington University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

• American Board of Internal Medicine - Internal Medicine

Medicare did not publish checkup rates for this clinician.

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Marinhealth Medical CenterGreenbrae, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of MarinHealthPatients rate it 3 of 5 · 76% would definitely recommend it
  Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.66 (3.59 to 7.73) · 1,505 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.177, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025
• UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
  Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024

$55,660

Medicare paid this office $55,660 for 359 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

359 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 15% · Women 63% · Also on Medicaid 44% · Health risk score 1.41. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 67% · Depression 27% · Chronic kidney disease 26% · Diabetes 25% · Coronary heart disease 17% · Heart failure 16% · Cancer 15% · Atrial fibrillation 15% · COPD 13% · Dementia 8% · Stroke 8%.

The office billed $388,113, Medicare allowed $78,824 and paid $55,660; for 1,010 services of 20 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

$155,987 in 2024

Medicaid paid $155,987 for 1,065 billed services this clinician did in 2024, up to 51 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$338,826

Pharmacies billed $338,826 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 5% of their Part D prescriptions (169 of 3,767) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%. Long-acting opioids: 27% of their opioid prescriptions.

3,261 generic and 494 brand-name prescriptions · $338,826 in drug cost · 51 antibiotic prescriptions to 44 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.