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MICHAEL J KAPLAN MD
NPI 1124047196
Orthopaedic Surgery - Sports Medicine in Middlebury, CT

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
1579 STRAITS TURNPIKE, MIDDLEBURY, CT 06762(203) 758-1272(203) 758-1070 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael J Kaplan Md NPPES

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

MICHAEL J KAPLAN MD (NPI 1124047196) is an individual sports medicine provider in Middlebury, Connecticut, licensed in Connecticut (034194) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1987).

NPPES Registry Identity

NPI1124047196
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMICHAEL J KAPLANCredential: MD
Location Address1579 STRAITS TURNPIKEMiddlebury, CT 06762
Mailing Address1579 Straits TurnpikeMiddlebury, CT 06762 · (203) 758-1272 · Fax (203) 758-1070
Phone(203) 758-1272
Fax(203) 758-1070
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1987
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 5, 2018
✔ NPI 1124047196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CT · 034194
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1579 STRAITS TURNPIKE, Middlebury, CT 06762
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Other Identifiers 7

Other00134194000CT · Anthem Bc Family Plan
OtherNHS375CT · Oxford Health Plans
Other010034194CT01CT · Anthem Bc Bs Of Ct
Other341940CT · Connecticare Insurance
Other501812CT · Aetna Healthcare
Medicaid1341940CT
Other0R0384CT · Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael 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 ID6002824414
PECOS Enrollment IDI20101130000401
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Active Orthopaedics PC
Same address
Sports Medicine
1579 STRAITS TURNPIKE
Middlebury, CT 06762
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
NPI 1083797401 (203) 758-1272

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,101 services26 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,984 services159 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,036 services164 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
326 services208 patients
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.
309 services184 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.
279 services200 patients

Other Providers at the Same Location NPPES 3

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

ACTIVE ORTHOPAEDICS PC
Orthopaedic Surgery (Sports Medicine)
1579 STRAITS TURNPIKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-1272
HASNIJA HANNAH HUSKIC APRN
Nurse Practitioner (Family)
1579 STRAITS TURNPIKE, LOWER LEVEL
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-7246
MR. W KENNETH MINER PA
Physician Assistant
1579 STRAITS TURNPIKE, TURNPIKE OFFICE PARK
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-0700

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 1124047196. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Michael Kaplan located?

Michael Kaplan practices at 1579 Straits Turnpike, Middlebury, CT 06762. The listed phone number is (203) 758-1272.

What is Michael Kaplan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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.

Which organization bills Medicare for Michael Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kaplan reassigns Medicare benefits to Active Orthopaedics PC (Middlebury, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael 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 Michael Kaplan was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.