DR. PETER E. KAPLAN M.D.
NPI 1164468492
Emergency Medicine in Delray Beach, FL

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
34.16/100
CMS Quality Rating
5352 LINTON BLVD, DELRAY BEACH, FL 33484(561) 498-4440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter E. Kaplan M.d. NPPES

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

DR. PETER E. KAPLAN M.D. (NPI 1164468492) is an individual emergency medicine provider in Delray Beach, Florida, licensed in Florida (ME65581) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Delray Medical Center, and is a graduate of New York Medical College (1987).

NPPES Registry Identity

NPI1164468492
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PETER E. KAPLANCredential: M.D.
Location Address5352 LINTON BLVDDelray Beach, FL 33484-6514
Mailing Address14050 Nw 14th St, Suite 190Sunrise, FL 33323-2865 · (800) 424-3672 · Fax (954) 377-3042
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1987
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164468492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME65581
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5352 LINTON BLVD, Delray Beach, FL 33484

Other Identifiers 2

Medicare ID-Type Unspecified28859ZFL
Medicare UPING01335

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. Peter E. 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 ID2163594870
PECOS Enrollment IDI20080711000225
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
791 services755 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
205 services200 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
125 services125 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
39 services39 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33484 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

34.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality16.66
Improvement Activities40

Reported Quality Measures

Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
100%21 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
5352 LINTON BLVD, ATTN: RADIOLOGY DEPT
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Vascular & Interventional Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484

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 Peter Kaplan's NPI number?

The NPI number for Peter Kaplan is 1164468492. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Peter Kaplan located?

Peter Kaplan practices at 5352 Linton Blvd, Delray Beach, FL 33484. The listed phone number is (561) 498-4440.

What is Peter Kaplan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Peter Kaplan enrolled in Medicare?

Yes. Peter 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 Peter Kaplan affiliated with any hospitals?

According to CMS data, Peter Kaplan is affiliated with Delray Medical Center.

When was this NPI record last updated?

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