DR. BRIAN H KAPLAN
NPI 1205015765
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Brian Kaplan's NPI number?

The NPI number for Brian Kaplan is 1205015765. It was assigned to this individual provider in the NPPES registry on October 31, 2007. The provider is also known as Dr. Brian H Kaplan Medical Doctor.

Q: What is Brian Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Brian Kaplan was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment

6550 FANNIN ST, SUITE 1201, HOUSTON, TX 77030(713) 441-3372(713) 797-0622 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2017, Aug 30, 2016 (2 updates tracked since 2016).

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About Dr. Brian H Kaplan NPPES

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

DR. BRIAN H KAPLAN (NPI 1205015765) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (G8887) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Baylor College Of Medicine (1984).

NPPES Registry Identity

NPI1205015765

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. BRIAN H KAPLAN

Location Address6550 FANNIN ST, SUITE 1201Houston, TX 77030-2717

Mailing Address6550 Fannin St, Suite 1201Houston, TX 77030-2717 · (713) 441-3372 · Fax (713) 797-0622

Phone(713) 441-3372

Fax(713) 797-0622

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 1984

Enumeration DateOctober 31, 2007

Last NPPES UpdateJanuary 5, 20172 updates tracked since enumeration

✔ NPI 1205015765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · G8887

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSpecialistTaxonomy 174400000X · License G8887 (TX)

6550 FANNIN ST, Houston, TX 77030

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Other Names 1

Professional Name (2)Dr. Brian H Kaplan Medical Doctor

Other Identifiers 9

Medicare PIN478743YMVQTX

Other8FT292TX · Blue Cross Blue Shield

Medicaid128444008TX

Medicare PIN8D4279TX

OtherP00295612TX · Rr Medicare

Medicaid181187901TX

Medicare PIN478743ZSWCTX

Medicaid128444007TX

Medicare PIN478743ZSWDTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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. Brian H Kaplan 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 ID1951348549

PECOS Enrollment IDI20050415000394

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 12

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.

227 services200 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

204 services204 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

139 services139 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

101 services101 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.

63 services61 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

62 services44 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

60 services60 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

54 services54 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.

43 services43 patients

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.

36 services35 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

16 services16 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450709

Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670122

Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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.

MEGAN MCCLANAHAN

Student in an Organized Health Care Education/Training Program

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-5155

MARIANNE CARLSON PSYD

Psychologist (Clinical)

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (346) 248-2040

MARIE MCLAIN P.A.

Physician Assistant

6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030

Harris County (713) 441-1100

DALIA MOGHAZY MD

Obstetrics & Gynecology

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 790-3311

YVONNE I-FANG CHU M.D.

Ophthalmology

6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030

Harris County (713) 798-6100

DR. SAM JERRY LONG D.D.S.

Dentist (General Practice)

6550 FANNIN ST, STE 2103
HOUSTON, TX 77030

Harris County (713) 797-0846

THOMAS W KNIGHT MD

Internal Medicine

6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030

Harris County (713) 441-0006

DR. JOOHI JIMENEZ-SHAHED M.D.

Psychiatry & Neurology (Neurology)

6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030

Harris County (713) 798-5975

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 Brian Kaplan's NPI number?

The NPI number for Brian Kaplan is 1205015765. It was assigned to this individual provider in the NPPES registry on October 31, 2007. The provider is also known as Dr. Brian H Kaplan Medical Doctor.

Where is Brian Kaplan located?

Brian Kaplan practices at 6550 Fannin St Suite 1201, Houston, TX 77030. The listed phone number is (713) 441-3372.

What is Brian Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Kaplan enrolled in Medicare?

Yes. Brian 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 Brian Kaplan accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Brian 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 Brian Kaplan affiliated with any hospitals?

According to CMS data, Brian Kaplan is affiliated with Houston Methodist Hospital, Houston Methodist Clear Lake Hospital, Houston Methodist Sugarland Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Brian Kaplan was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.