DR. ADAM CHAIM KAPLAN M.D.
NPI 1013330018
Internal Medicine in Neptune, NJ

Active since January 27, 2014PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753(732) 897-3990(732) 897-3997 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Adam Chaim Kaplan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM CHAIM KAPLAN M.D. (NPI 1013330018) is an individual internal medicine provider in Neptune, New Jersey, licensed in New Jersey (25MA09443900) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013330018
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADAM CHAIM KAPLANCredential: M.D.
Location Address19 DAVIS AVE FL 6Neptune, NJ 07753-4488
Mailing Address19 Davis Ave Fl 6Neptune, NJ 07753-4488 · (732) 897-3990 · Fax (732) 897-3997
Fax(732) 897-3997
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 27, 2014
Last NPPES UpdateDecember 10, 2018
NPI 1013330018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA09443900
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

19 DAVIS AVE FL 6, Neptune, NJ 07753

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Chaim Kaplan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436375763
PECOS Enrollment IDI20140723001047
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Rheumatology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Nephrology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013330018, enumerated as an "individual" on January 27, 2014.

The provider is located at 19 DAVIS AVE FL 6 NEPTUNE, NJ 07753 and the phone number is (732) 897-3990.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.

Adam Kaplan is affiliated with: COMMUNITY MEDICAL CENTER and MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS.