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DR. M. LAWRENCE KAPLAN M.D.
NPI 1194881664
Emergency Medicine in Lake Mary, FL

Active since December 29, 2006PECOS Enrolled
1707 CEDARHILL PL, LAKE MARY, FL 32746(407) 333-4383 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. M. Lawrence Kaplan M.d. NPPES

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

DR. M. LAWRENCE KAPLAN M.D. (NPI 1194881664) is an individual emergency medicine provider in Lake Mary, Florida, licensed in Florida (ME0043227) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194881664
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. M. LAWRENCE KAPLANCredential: M.D.
Location Address1707 CEDARHILL PLLake Mary, FL 32746-4029
Mailing Address1707 Cedarhill PlLake Mary, FL 32746-4029 · (407) 333-4383
Phone(407) 333-4383
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 3, 2015
✔ NPI 1194881664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME0043227
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME43227 (FL)
1707 CEDARHILL PL, Lake Mary, FL 32746
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Other Names 1

Other Name (5)Dr. M. Lawrence Kaplan M.d.

Other Identifiers 5

Medicare UPIND57081FL
Medicaid272402200FL
Other59951FL · Bcbs
Medicare PIN59951OFL
Medicare PIN59951FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. M. Lawrence Kaplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show M. Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eagle Butte Indian Health Service Hospital
1,561 mi
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
NPI 1558395848 (605) 964-7724

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
6%672 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%1,258 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
4%96 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
38%1,462 patients2/55-star benchmark: 88%
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.

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 M. Kaplan's NPI number?

The NPI number for M. Kaplan is 1194881664. It was assigned to this individual provider in the NPPES registry on December 29, 2006. The provider is also known as Dr. M. Lawrence Kaplan M.D..

Where is M. Kaplan located?

M. Kaplan practices at 1707 Cedarhill Pl, Lake Mary, FL 32746. The listed phone number is (407) 333-4383.

What is M. Kaplan's specialty?

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

Is M. Kaplan enrolled in Medicare?

Yes. M. Kaplan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for M. Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), M. Kaplan reassigns Medicare benefits to Eagle Butte Indian Health Service Hospital (Eagle Butte, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for M. Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for M. Kaplan was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.