DR. GEOFFREY M KAPLAN O.D.
NPI 1104871417
Optometrist in Hatboro, PA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
68.61/100
CMS Quality Rating
345 N YORK RD, HATBORO, PA 19040(215) 672-9030(215) 672-8099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Geoffrey M Kaplan O.d. NPPES

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

DR. GEOFFREY M KAPLAN O.D. (NPI 1104871417) is an individual optometrist in Hatboro, Pennsylvania, licensed in Pennsylvania (OEG000089) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1998).

NPPES Registry Identity

NPI1104871417
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GEOFFREY M KAPLANCredential: O.D.
Location Address345 N YORK RDHatboro, PA 19040-2045
Mailing Address345 N York RdHatboro, PA 19040-2045 · (215) 672-9030 · Fax (215) 672-8099
Fax(215) 672-8099
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1998
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104871417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG000089
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
345 N YORK RD, Hatboro, PA 19040

Other Identifiers 2

Medicare ID-Type Unspecified023419PA
Medicare UPINU73720

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. Geoffrey M Kaplan O.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 ID143418038
PECOS Enrollment IDI20101220000164
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
338 services332 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
124 services115 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
61 services61 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
60 services58 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.
57 services50 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
37 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19040 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

68.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability72
Improvement Activities40
Cost18.7

Referred Medical Equipment & Supplies CMS DME claims 7

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers45 claims45 services$45.05 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims16 services$30.61 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers12 claims18 services$31.64 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims18 services$50.55 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims21 services$57.08 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers32 claims49 services$51.31 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 19

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

Optometrist
345 N YORK RD
HATBORO, PA 19040
Counselor (Mental Health)
345 N YORK RD
HATBORO, PA 19040
Ophthalmology
345 N YORK RD
HATBORO, PA 19040
Counselor (Mental Health)
345 N YORK RD
HATBORO, PA 19040
Ophthalmology
345 N YORK RD
HATBORO, PA 19040
Counselor (Mental Health)
345 N YORK RD
HATBORO, PA 19040
Family Medicine
345 N YORK RD
HATBORO, PA 19040
Marriage & Family Therapist
345 N YORK RD
HATBORO, PA 19040

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 Geoffrey Kaplan's NPI number?

The NPI number for Geoffrey Kaplan is 1104871417. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Geoffrey Kaplan located?

Geoffrey Kaplan practices at 345 N York Rd, Hatboro, PA 19040. The listed phone number is (215) 672-9030.

What is Geoffrey Kaplan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Geoffrey Kaplan enrolled in Medicare?

Yes. Geoffrey 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 Geoffrey Kaplan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Geoffrey 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.

When was this NPI record last updated?

The NPPES record for Geoffrey Kaplan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.