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DR. PHILIP KAPLAN MD
NPI 1033224738
Family Medicine in Manlius, NY

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
115 FAIRGROUNDS DRIVE, MANLIUS, NY 13104(315) 682-6165(315) 682-7929 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Philip Kaplan Md NPPES

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

DR. PHILIP KAPLAN MD (NPI 1033224738) is an individual family medicine provider in Manlius, New York, licensed in New York (1042381) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1033224738
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILIP KAPLANCredential: MD
Location Address115 FAIRGROUNDS DRIVEManlius, NY 13104
Mailing Address115 Fairgrounds DriveManlius, NY 13104 · (315) 682-6165 · Fax (315) 682-7929
Phone(315) 682-6165
Fax(315) 682-7929
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateAugust 20, 2006
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1033224738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 1042381
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

115 FAIRGROUNDS DRIVE, Manlius, NY 13104
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Other Identifiers 2

Medicare UPINB81763
Medicaid00597159NY

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. Philip Kaplan Md 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 ID1759464019
PECOS Enrollment IDI20101006000853
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 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.
137 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
102 services78 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.
98 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services17 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13104 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

DR. KAREN OLIVER NARDELLA MD
Family Medicine
115 FAIRGROUNDS DRIVE
MANLIUS, NY 13104
Onondaga County (315) 682-6165
DR. JARROD LAWRENCE BAGATELL MD
Family Medicine
115 FAIRGROUNDS DRIVE
MANLIUS, NY 13104
Onondaga County (315) 682-6165
MR. WAYNE W. RATH PT
Physical Therapist
115 FAIRGROUNDS DRIVE, SUITE 2
MANLIUS, NY 13104
Onondaga County (315) 682-3387
FAIRGROUNDS FAMILY PHYSICIANS PLLC
Family Medicine
115 FAIRGROUNDS DRIVE
MANLIUS, NY 13104
Onondaga County (315) 682-6165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Kaplan's NPI number?

The NPI number for Philip Kaplan is 1033224738. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Philip Kaplan located?

Philip Kaplan practices at 115 Fairgrounds Drive, Manlius, NY 13104. The listed phone number is (315) 682-6165.

What is Philip Kaplan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Kaplan enrolled in Medicare?

Yes. Philip Kaplan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Philip Kaplan affiliated with any hospitals?

According to CMS data, Philip Kaplan is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Philip Kaplan was last updated on February 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.