EDWARD P KAPLAN MD
NPI 1164418133
Urology in Dallas, TX

Q: What is Edward Kaplan's NPI number?

The NPI number for Edward Kaplan is 1164418133. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Edward Kaplan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Kaplan was last updated on June 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

7777 FOREST LN, STE A230, DALLAS, TX 75230(972) 566-7765(972) 566-4656 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2018, Jan 31, 2017, Dec 17, 2015 (3 updates tracked since 2015).

On this page

About Edward P Kaplan Md NPPES

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

EDWARD P KAPLAN MD (NPI 1164418133) is an individual urology provider in Dallas, Texas, licensed in Texas (J2120) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1991).

NPPES Registry Identity

NPI1164418133

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameEDWARD P KAPLANCredential: MD

Location Address7777 FOREST LN, STE A230Dallas, TX 75230-2598

Mailing Address7777 Forest Ln, Ste A230Dallas, TX 75230-2568 · (214) 692-8262 · Fax (214) 696-4190

Phone(972) 566-7765

Fax(972) 566-4656

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1991

Enumeration DateSeptember 23, 2005

Last NPPES UpdateJune 25, 20183 updates tracked since enumeration

✔ NPI 1164418133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · J2120

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

7777 FOREST LN, Dallas, TX 75230

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Other Identifiers 5

Medicaid144157803TX

Medicaid144157804TX

Medicaid144157806TX

Other144157805TX · Medicaid Other

Medicaid144157802TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Edward P 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 ID7416998927

PECOS Enrollment IDI20050516000218

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 25

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

837 services502 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.

581 services408 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

374 services63 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.

309 services188 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.

253 services195 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

215 services160 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

171 services20 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

121 services93 patients

Bacterial urine culture 87088

A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.

74 services41 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

71 services57 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

69 services54 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.

54 services54 patients

Bacterial culture for aerobic isolates 87077

A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.

53 services33 patients

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186

This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.

53 services33 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.

53 services53 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

49 services27 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

34 services11 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

31 services31 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

30 services20 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

29 services29 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

23 services23 patients

Testosterone (hormone) level, total 84403

A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.

20 services17 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

17 services17 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

12 services12 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338

DME-Orthotic Devices · category DF000N

2 suppliers35 claims47 services$11.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers29 claims6,640 services$1.75 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers22 claims75 services$7.12 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

2 suppliers31 claims86 services$4.94 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 20

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

JEFFREY SZOT M.D.

Emergency Medicine

7777 FOREST LN
DALLAS, TX 75230

Dallas County (972) 566-2667

NORTH DALLAS ORTHOPEDICS & REHABILITATION, PA

Clinic/Center

7777 FOREST LN, C-500
DALLAS, TX 75230

Dallas County (972) 566-6366

KASEY REHME

Speech-Language Pathologist

7777 FOREST LN
DALLAS, TX 75230

Dallas County (972) 566-7000

DR. CHRISTIAN BREWER MD

Emergency Medicine

7777 FOREST LN
DALLAS, TX 75230

Dallas County (972) 566-7000

JEFFREY L. HORSWELL, MD PA

Anesthesiology

7777 FOREST LN
DALLAS, TX 75230

Dallas County (972) 247-9946

MRS. AMELIE P. MCKNEELY PA-C

Physician Assistant (Surgical)

7777 FOREST LN
DALLAS, TX 75230

Dallas County (972) 566-7000

MRS. SUSAN KAY DEAHL M.C.D.

Audiologist-Hearing Aid Fitter

7777 FOREST LN, BUILDING C SUITE 100
DALLAS, TX 75230

Dallas County (972) 566-4848

360 ANESTHESIA, PA

Anesthesiology

7777 FOREST LN
DALLAS, TX 75230

Dallas County (972) 566-4817

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 Edward Kaplan's NPI number?

The NPI number for Edward Kaplan is 1164418133. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Edward Kaplan located?

Edward Kaplan practices at 7777 Forest Ln Ste A230, Dallas, TX 75230. The listed phone number is (972) 566-7765.

What is Edward Kaplan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Edward Kaplan enrolled in Medicare?

Yes. Edward 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 Edward Kaplan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Edward 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 Edward Kaplan affiliated with any hospitals?

According to CMS data, Edward Kaplan is affiliated with Medical City Dallas Hospital.

When was this NPI record last updated?

The NPPES record for Edward Kaplan was last updated on June 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.