DR. STEPHANIE KAPLAN D.O.
NPI 1164765608
Hospitalist in Lakeland, FL

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1321(863) 603-6534 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2020, May 1, 2019, Feb 12, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Stephanie Kaplan D.o. NPPES

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

DR. STEPHANIE KAPLAN D.O. (NPI 1164765608) is an individual hospitalist provider in Lakeland, Florida, licensed in Florida (OS15770) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2013).

NPPES Registry Identity

NPI1164765608
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. STEPHANIE KAPLANCredential: D.O.
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805 · (863) 687-1100
Fax(863) 603-6534
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJuly 2, 20204 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
NPI 1164765608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · OS15770
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS15770 (FL)
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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. Stephanie Kaplan D.o. 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 ID7012200777
PECOS Enrollment IDI20190513001654
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 3

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
45 services41 patients
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.
39 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services34 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

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.

Internal Medicine (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Stephanie Kaplan's NPI number?

The NPI number for Stephanie Kaplan is 1164765608. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Stephanie Kaplan located?

Stephanie Kaplan practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1321.

What is Stephanie Kaplan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Stephanie Kaplan enrolled in Medicare?

Yes. Stephanie 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 Stephanie Kaplan accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Stephanie 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 Stephanie Kaplan affiliated with any hospitals?

According to CMS data, Stephanie Kaplan is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Kaplan was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.