DR. ANDREW S. KAPLAN MD
NPI 1053341420
Orthopaedic Surgery in S. Burlington, VT

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
6 SAN REMO DR., UVM MEDICAL CENTER - ORTHOPEDICS, S. BURLINGTON, VT 05403(802) 862-3983(802) 863-7994 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew S. Kaplan Md NPPES

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

DR. ANDREW S. KAPLAN MD (NPI 1053341420) is an individual orthopaedic surgery provider in S. Burlington, Vermont, licensed in Vermont (42-0008514) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Columbia University College Of Physicians And Surgeons (1987).

NPPES Registry Identity

NPI1053341420
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANDREW S. KAPLANCredential: MD
Location Address6 SAN REMO DR., UVM MEDICAL CENTER - ORTHOPEDICSS. Burlington, VT 05403-6310
Mailing Address6 San Remo Dr., Uvm Medical Center - OrthopedicsS. Burlington, VT 05403-6310 · (802) 862-3983 · Fax (802) 863-7994
Fax(802) 863-7994
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1987
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 21, 2016
NPI 1053341420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in VT · 42-0008514
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6 SAN REMO DR., S. Burlington, VT 05403

Other Identifiers 1

Medicare UPINF27355

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. Andrew S. 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 ID9335120021
PECOS Enrollment IDI20040730000680
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 5

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
97 services55 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services32 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.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier16 claims17 services$67.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Surgical)
6 SAN REMO DR., UVM MEDICAL CENTER
S. BURLINGTON, VT 05403
Orthopaedic Surgery
6 SAN REMO DR., UVM MEDICAL CENTER - ORTHOPEDICS
S. BURLINGTON, VT 05403
Nurse Practitioner
6 SAN REMO DR., UVM MEDICAL CENTER - ORTHOPEDICS
S. BURLINGTON, VT 05403
Physician Assistant (Surgical)
6 SAN REMO DR., UVM MEDICAL CENTER - ORTHOPEDICS
S. BURLINGTON, VT 05403
Orthopaedic Surgery
6 SAN REMO DR., UVM MEDICAL CENTER - ORTHOPEDICS
S. BURLINGTON, VT 05403

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 Andrew Kaplan's NPI number?

The NPI number for Andrew Kaplan is 1053341420. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Andrew Kaplan located?

Andrew Kaplan practices at 6 San Remo Dr. Uvm Medical Center - Orthopedics, S. Burlington, VT 05403. The listed phone number is (802) 862-3983.

What is Andrew Kaplan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Kaplan enrolled in Medicare?

Yes. Andrew 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 Andrew Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew 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 Andrew Kaplan affiliated with any hospitals?

According to CMS data, Andrew Kaplan is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Andrew Kaplan was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.