Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANDRA DAVIS KAPLAN MD
NPI 1205019940
Pain Medicine - Pain Medicine in Chattanooga, TN

Active since December 17, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
281 N LYERLY ST STE 200, CHATTANOOGA, TN 37404(423) 698-0850(423) 698-0511 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Dec 17, 2024, Mar 22, 2016 (3 updates tracked since 2016).

About Sandra Davis Kaplan Md NPPES

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

SANDRA DAVIS KAPLAN MD (NPI 1205019940) is an individual pain medicine provider in Chattanooga, Tennessee, licensed in Tennessee (48870) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ooltewah, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2004).

NPPES Registry Identity

NPI1205019940
Entity TypeIndividualFemale
Primary Taxonomy208VP0000X
Provider Legal NameSANDRA DAVIS KAPLANCredential: MD
Location Address281 N LYERLY ST STE 200Chattanooga, TN 37404-2749
Mailing Address281 N Lyerly St Ste 200Chattanooga, TN 37404-2749 · (423) 698-0850 · Fax (423) 698-0511
Fax(423) 698-0511
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2004
Enumeration DateDecember 17, 2007
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1205019940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in TN · 48870
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
281 N LYERLY ST STE 200, Chattanooga, TN 37404

Secondary Practice Location 1

Location 14957 Swinyar Dr Ste 101Ooltewah, TN 37363-2205 · Phone (423) 698-0850 · Fax (423) 698-0511

Other Identifiers 1

MedicaidQ000631TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Davis Kaplan 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 ID4082863477
PECOS Enrollment IDI20120928000153
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 Reassignments

2

Medicare enrollment records show Sandra Kaplan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Medicine
281 N LYERLY ST STE 200
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 36 clinicians in this Medicare group
Pain Medicine
6130 SHALLOWFORD RD, STE 101
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 48

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 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.
246 services117 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
202 services20 patients
Injection, fentanyl citrate, 0.1 mg J3010
Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.
141 services26 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
110 services87 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636
This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
83 services55 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
70 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Anesthesiology (Pain Medicine)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Prosthetic/Orthotic Supplier
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Pain Medicine (Interventional Pain Medicine)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Nurse Practitioner
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Physician Assistant (Medical)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Social Worker (Clinical)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404

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 Sandra Kaplan's NPI number?

The NPI number for Sandra Kaplan is 1205019940. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Sandra Kaplan located?

Sandra Kaplan practices at 281 N Lyerly St Ste 200, Chattanooga, TN 37404. The listed phone number is (423) 698-0850.

What is Sandra Kaplan's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Sandra Kaplan enrolled in Medicare?

Yes. Sandra 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.

Which organizations bill Medicare for Sandra Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Kaplan reassigns Medicare benefits to 2 organizations: Specialists In Pain Management, PLLC Dba Spine & Pain Associates (Chattanooga, TN) and Stephen V Dreskin MD PC (Chattanooga, TN). Each 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 Sandra Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Kaplan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Sandra 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.

When was this NPI record last updated?

The NPPES record for Sandra Kaplan was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.