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MS. MELISSA E CAPLAN PA-C
NPI 1174501274
Physician Assistant - Medical in Marietta, GA

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
340 KENNESTONE HOSPITAL BLVD STE 100, MARIETTA, GA 30060(770) 281-5100(678) 581-7100 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Apr 22, 2021, Jun 10, 2019 and 2 more (5 updates tracked since 2018).

About Ms. Melissa E Caplan Pa-c NPPES

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

MS. MELISSA E CAPLAN PA-C (NPI 1174501274) is an individual medical provider in Marietta, Georgia, licensed in Georgia (004052) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174501274
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MELISSA E CAPLANCredential: PA-C
Location Address340 KENNESTONE HOSPITAL BLVD STE 100Marietta, GA 30060-1158
Mailing Address531 Roselane St Nw Ste 710Marietta, GA 30060-6975 · (678) 331-3297 · Fax (678) 581-7187
Phone(770) 281-5100
Fax(678) 581-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 9, 2006
Last NPPES UpdateOctober 11, 20225 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1174501274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 004052
340 KENNESTONE HOSPITAL BLVD STE 100, Marietta, GA 30060
Open in Google Maps ↗

Other Identifiers 1

Other1174501274GA · Npi Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Ms. Melissa E Caplan Pa-c 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 ID8729162557
PECOS Enrollment IDI20080303000548
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.

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.
418 services279 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.
112 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

JENNIFER GRIMM PA-C
Physician Assistant
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 402-6438
MS. MEGAN NICHOLE DALTON PA-C
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. STEVEN LELAND MCCUNE MD, PHD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
GARRETT MCBROOM PA
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MRS. ROSEMARY ELAINE TAORMINA AGPCNP-BC
Nurse Practitioner (Gerontology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. RAUL H. OYOLA MD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. DON W SHAFFER MD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MRS. LAUREN K RICKOFF PA-C
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100

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 Melissa Caplan's NPI number?

The NPI number for Melissa Caplan is 1174501274. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Melissa Caplan located?

Melissa Caplan practices at 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060. The listed phone number is (770) 281-5100.

What is Melissa Caplan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melissa Caplan enrolled in Medicare?

Yes. Melissa Caplan 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 Melissa Caplan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Melissa Caplan 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 Melissa Caplan affiliated with any hospitals?

According to CMS data, Melissa Caplan is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Caplan was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.