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KAILEY CAPLAN MD
NPI 1194258947
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since April 08, 2017PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
1941 EAST RD, HOUSTON, TX 77054(713) 486-2700(713) 486-2721 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2022, Jan 21, 2022 (2 updates tracked since 2022).

About Kailey Caplan Md NPPES

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

KAILEY CAPLAN MD (NPI 1194258947) is an individual psychiatry provider in Houston, Texas, licensed in Texas (T3595) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2017).

NPPES Registry Identity

NPI1194258947
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKAILEY CAPLANCredential: MD
Location Address1941 EAST RDHouston, TX 77054-6010
Mailing Address1941 East RdHouston, TX 77054-6010 · (713) 486-2700 · Fax (713) 486-2721
Phone(713) 486-2700
Fax(713) 486-2721
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2017
Enumeration DateApril 8, 2017
Last NPPES UpdateJanuary 28, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1194258947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · T3595
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1941 EAST RD, Houston, TX 77054
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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

Kailey Caplan 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 ID4183016918
PECOS Enrollment IDI20220127002307
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

DR. JENNIFER L YEN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2500
RONALD E ACIERNO PHD
Psychologist (Clinical)
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2700
DR. SEEMA JACOB PSY.D.
Psychologist (Clinical)
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2700
MADELEINE ELISE ALLMAN
Student in an Organized Health Care Education/Training Program
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2700
DR. GUY K PATTERSON M.D.
Psychiatry & Neurology (Psychiatry)
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2700
DR. ANDREA NADINE TAYLOR PH.D.
Psychologist (Clinical)
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2700
DR. BETHANY R. WILLIAMS PH.D.
Clinical Neuropsychologist
1941 EAST RD, 4TH FLOOR
HOUSTON, TX 77054
Harris County (713) 486-0500
DR. GLENN ROLAND BELZ MD
Psychiatry & Neurology (Psychiatry)
1941 EAST RD
HOUSTON, TX 77054
Harris County (713) 486-2570

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 Kailey Caplan's NPI number?

The NPI number for Kailey Caplan is 1194258947. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Kailey Caplan located?

Kailey Caplan practices at 1941 East Rd, Houston, TX 77054. The listed phone number is (713) 486-2700.

What is Kailey Caplan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kailey Caplan enrolled in Medicare?

Yes. Kailey 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 Kailey Caplan 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 4 other insurers list Kailey 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.

When was this NPI record last updated?

The NPPES record for Kailey Caplan was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.