KARA J KAPLAN MD
NPI 1043751456
Internal Medicine - Nephrology in Columbus, OH

Active since March 17, 2017PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
543 TAYLOR AVE, COLUMBUS, OH 43203(614) 293-4837(614) 293-3125 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2025, Jul 27, 2023, Apr 12, 2022 and 1 more (4 updates tracked since 2017).

About Kara J Kaplan Md NPPES

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

KARA J KAPLAN MD (NPI 1043751456) is an individual nephrology provider in Columbus, Ohio, licensed in Ohio (35.145934) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1043751456
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameKARA J KAPLANCredential: MD
Location Address543 TAYLOR AVEColumbus, OH 43203-1278
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4837 · Fax (614) 293-3125
Fax(614) 293-3125
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 2017
Enumeration DateMarch 17, 2017
Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1043751456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35.145934
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedHospitalistTaxonomy 208M00000X · License 35.145934 (OH)
543 TAYLOR AVE, Columbus, OH 43203

Secondary Practice Location 1

Location 11320 W Main StNewark, OH 43055-1822 · Phone (220) 564-1791 · Fax (220) 564-1790

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

Kara J 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 ID3971877515
PECOS Enrollment IDI20230807000814
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
409 services147 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
103 services95 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
94 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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
543 TAYLOR AVE
COLUMBUS, OH 43203
Nurse Practitioner (Family)
543 TAYLOR AVE
COLUMBUS, OH 43203
Neurological Surgery
543 TAYLOR AVE
COLUMBUS, OH 43203
Family Medicine
543 TAYLOR AVE
COLUMBUS, OH 43203
Internal Medicine
543 TAYLOR AVE
COLUMBUS, OH 43203
General Acute Care Hospital
543 TAYLOR AVE
COLUMBUS, OH 43203
Orthopaedic Surgery
543 TAYLOR AVE, FIRST FLOOR
COLUMBUS, OH 43203
Orthopaedic Surgery
543 TAYLOR AVE
COLUMBUS, OH 43203

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 Kara Kaplan's NPI number?

The NPI number for Kara Kaplan is 1043751456. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Kara Kaplan located?

Kara Kaplan practices at 543 Taylor Ave, Columbus, OH 43203. The listed phone number is (614) 293-4837.

What is Kara Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kara Kaplan enrolled in Medicare?

Yes. Kara 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.

What insurance does Kara Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Kara Kaplan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kara Kaplan affiliated with any hospitals?

According to CMS data, Kara Kaplan is affiliated with Riverside Methodist Hospital, Ohio State University State Health System and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kara Kaplan was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.