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DR. JUSTIN MICHAEL CAPLAN M.D.
NPI 1124277272
Neurological Surgery in Baltimore, MD

Active since September 13, 2008PECOS Enrolled
74.39/100
CMS Quality Rating
1800 ORLEANS ST, ZAYED TOWER, ROOM 6007, BALTIMORE, MD 21287(410) 955-6405 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2017, Jun 12, 2017 (2 updates tracked since 2017).

About Dr. Justin Michael Caplan M.d. NPPES

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

DR. JUSTIN MICHAEL CAPLAN M.D. (NPI 1124277272) is an individual neurological surgery provider in Baltimore, Maryland, licensed in Maryland (D76618) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Harvard Medical School (2009).

NPPES Registry Identity

NPI1124277272
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JUSTIN MICHAEL CAPLANCredential: M.D.
Location Address1800 ORLEANS ST, ZAYED TOWER, ROOM 6007Baltimore, MD 21287-0010
Mailing Address9910 Franklin Square Drive, Suite 2110Baltimore, MD 21236-4902 · (410) 933-6423 · Fax (410) 933-1390
Phone(410) 955-6405
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2009
Enumeration DateSeptember 13, 2008
Last NPPES UpdateJune 27, 20172 updates tracked since enumeration
✔ NPI 1124277272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MD · D76618
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1800 ORLEANS ST, Baltimore, MD 21287
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Michael Caplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820247901
PECOS Enrollment IDI20170705001518, I20170810001017
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 Reassignments

2

Medicare enrollment records show Justin Caplan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
0.1 mi
Critical Care Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1881694453 (410) 933-5474
Johns Hopkins University
0.1 mi
Optometrist
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 15 clinicians in this Medicare group
NPI 1588638878 (410) 955-5080

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 13

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
90 services16 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
48 services41 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
40 services22 patients
Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist 36223
This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.
36 services31 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.
23 services22 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

KATHRYN ROSENBLATT M.D.
Anesthesiology
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-7461
DR. CARMEL BOGLE M.D.
Pediatrics
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (443) 287-0526
MIAN MOHAMMAD BILAL KHALID MD
Internal Medicine (Gastroenterology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
SPENCER WILSON
Surgery (Trauma Surgery)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 933-6423
EVAN FOX
Radiology (Neuroradiology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
ADAM ROBERT BUSSELLS
Physician Assistant
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
DR. SARAH WALSER MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (484) 883-6433
LYNN DESROSIERS FNP-C
Nurse Practitioner (Family)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-2800

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 Justin Caplan's NPI number?

The NPI number for Justin Caplan is 1124277272. It was assigned to this individual provider in the NPPES registry on September 13, 2008.

Where is Justin Caplan located?

Justin Caplan practices at 1800 Orleans St Zayed Tower, Room 6007, Baltimore, MD 21287. The listed phone number is (410) 955-6405.

What is Justin Caplan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Justin Caplan enrolled in Medicare?

Yes. Justin Caplan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Caplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Caplan reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each 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 Justin Caplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Caplan affiliated with any hospitals?

According to CMS data, Justin Caplan is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Caplan was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.