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DR. MICHAEL KAPLAN M.D.
NPI 1073925913
Internal Medicine - Rheumatology in New York, NY

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
425 W 59TH ST, NEW YORK, NY 10019(212) 523-5900(212) 580-8582 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, May 5, 2021, Aug 3, 2017 (3 updates tracked since 2017).

About Dr. Michael Kaplan M.d. NPPES

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

DR. MICHAEL KAPLAN M.D. (NPI 1073925913) is an individual rheumatology provider in New York, New York, licensed in New York (288842) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073925913
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MICHAEL KAPLANCredential: M.D.
Location Address425 W 59TH STNew York, NY 10019-8022
Mailing Address150 E 42nd St Fl 9New York, NY 10017-5699 · (646) 605-8186
Phone(212) 523-5900
Fax(212) 580-8582
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1073925913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 288842
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedHospitalistTaxonomy 208M00000X · License 288842 (NY)
425 W 59TH ST, New York, NY 10019
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100
Location 2440 W 114th StNew York, NY 10025-1796 · Phone (212) 523-8672 · Fax (212) 523-4206

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. Michael 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 ID3971815184
PECOS Enrollment IDI20171024001342
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.

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.
112 services68 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.
94 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
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.
31 services19 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

DR. LYNN R ALLEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
425 W 59TH ST, 8TH FLOOR
NEW YORK, NY 10019
New York County (212) 492-5500
DR. DAVID COVEN M.D.
Internal Medicine (Interventional Cardiology)
425 W 59TH ST, 9-C
NEW YORK, NY 10019
New York County (212) 492-5550
DR. BETTE KIM M.D.
Internal Medicine (Cardiovascular Disease)
425 W 59TH ST, 9-C
NEW YORK, NY 10019
New York County (212) 492-5550
RENUKA D. PAKA M.D.
Obstetrics & Gynecology
425 W 59TH ST, 4B
NEW YORK, NY 10019
New York County (212) 581-8675
NENAD TRUBELJA MD
Internal Medicine (Cardiovascular Disease)
425 W 59TH ST
NEW YORK, NY 10019
New York County (212) 752-2700
DR. SAUD A. SADIQ M.D.
Psychiatry & Neurology (Neurology)
425 W 59TH ST, SUITE 7C
NEW YORK, NY 10019
New York County (212) 523-8070
SLRCH FACULTY PRACTICE
Surgery
425 W 59TH ST, SUITE 7A
NEW YORK, NY 10019
New York County (212) 523-7500
CHAIM KOZLOVSKY PA-C
Physician Assistant (Medical)
425 W 59TH ST, 10TH FLOOR
NEW YORK, NY 10019
New York County (212) 523-7791

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 Michael Kaplan's NPI number?

The NPI number for Michael Kaplan is 1073925913. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Michael Kaplan located?

Michael Kaplan practices at 425 W 59th St, New York, NY 10019. The listed phone number is (212) 523-5900.

What is Michael Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Kaplan enrolled in Medicare?

Yes. Michael 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 Michael Kaplan affiliated with any hospitals?

According to CMS data, Michael Kaplan is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kaplan was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.