DR. DAMARA LEE KAPLAN PHD, M.D.
NPI 1174525257
Urology in Albuquerque, NM

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment
85.27/100
CMS Quality Rating
4901 LANG AVE NE, ALBUQUERQUE, NM 87109(505) 842-8171(505) 246-0684 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Apr 8, 2021 (2 updates tracked since 2021).

About Dr. Damara Lee Kaplan Phd, M.d. NPPES

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

DR. DAMARA LEE KAPLAN PHD, M.D. (NPI 1174525257) is an individual urology provider in Albuquerque, New Mexico, licensed in New Mexico (99-63) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of University Of New Mexico School Of Medicine (1996).

NPPES Registry Identity

NPI1174525257
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. DAMARA LEE KAPLANCredential: PHD, M.D.
Location Address4901 LANG AVE NEAlbuquerque, NM 87109-4397
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Fax(505) 246-0684
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1996
Enumeration DateJune 2, 2005
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1174525257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NM · 99-63
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.
4901 LANG AVE NE, Albuquerque, NM 87109

Other Identifiers 2

Other340020618Railroad Medicare
MedicaidF0134NM

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. Damara Lee Kaplan Phd, 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 ID3476515560
PECOS Enrollment IDI20041110000030
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 11

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.
464 services290 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.
442 services293 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.
84 services68 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.
76 services53 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.
65 services55 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.
60 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

85.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.74
Promoting Interoperability94
Improvement Activities40
Cost76.18

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims1,450 services$0.09 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
6 suppliers47 claims12,620 services$1.71 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers14 claims3,380 services$5.28 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.

Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine (Rheumatology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine (Hematology & Oncology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Pharmacist
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Physician Assistant
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Clinic/Center (Ambulatory Surgical)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109

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 Damara Kaplan's NPI number?

The NPI number for Damara Kaplan is 1174525257. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is Damara Kaplan located?

Damara Kaplan practices at 4901 Lang Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 842-8171.

What is Damara Kaplan's specialty?

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

Is Damara Kaplan enrolled in Medicare?

Yes. Damara 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 Damara Kaplan accept?

Health plans from Blue Cross Blue Shield of Arizona list Damara 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 Damara Kaplan affiliated with any hospitals?

According to CMS data, Damara Kaplan is affiliated with Lovelace Medical Center and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Damara Kaplan was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.