Karina Francesca Appel, MD
NPI 1184250151ActiveIndividual· Internal Medicine· Shirley, NY
Internal Medicine (MD) with St John's Medical Services PC, practicing in Shirley, New York. Their prescriptions cost Medicare Part D more than their services did: $160,883 for 1,383 claims, against $33,219 paid for services in 2024. Lilly USA, LLC reported $117.88 in payments in 2025, mostly food and beverage. Lists St John's Episcopal Hospital at South Shore as a hospital affiliation.
Overview
| NPI | 1184250151 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 20, 2020 |
| Last updated in NPPES | Nov 21, 2023 |
| Certified by provider | Nov 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 325330 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 197 |
|---|---|
| Services billed | 639 across 39 procedure codes |
| Paid by Medicare | $33,219 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,383 · 2,401 30-day fills |
|---|---|
| Patients | 297 |
| Total drug cost | $160,883 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- St John's Medical Services PCRockaway Park, NY · 90 clinicians
Hospital affiliation
- St John's Episcopal Hospital at South ShoreFar Rockaway, NY
Industry payments (Open Payments)
- 2025$117.88 · 1 payment from 1 company
- 2024$135.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $117.88 | 1 |
What the 2025 payments were for
- Food and Beverage$117.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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