1. Home
  2. Directory
  3. Louisiana
  4. Metairie
  5. Emergency Medicine
  6. NPI Profile

DR. CRAIG F CAPLAN M.D.
NPI 1205810900
Emergency Medicine - Emergency Medical Services in Metairie, LA

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
91.9/100
CMS Quality Rating
4200 HOUMA BLVD, EMERGENCY DEPARTMENT, METAIRIE, LA 70006(210) 614-0180(210) 566-5698 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Craig F Caplan M.d. NPPES

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

DR. CRAIG F CAPLAN M.D. (NPI 1205810900) is an individual emergency medical services provider in Metairie, Louisiana, licensed in Louisiana (023591) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1997).

NPPES Registry Identity

NPI1205810900
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. CRAIG F CAPLANCredential: M.D.
Location Address4200 HOUMA BLVD, EMERGENCY DEPARTMENTMetairie, LA 70006-2970
Mailing Address4200 Houma BlvdMetairie, LA 70006-2970 · (504) 503-5684 · Fax (504) 503-5428
Phone(210) 614-0180
Fax(210) 566-5698
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1997
Enumeration DateDecember 6, 2005
Last NPPES UpdateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1205810900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in LA · 023591
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
4200 HOUMA BLVD, Metairie, LA 70006
Open in Google Maps ↗

Other Identifiers 2

Medicaid1483443LA
OtherH4048ZLA · Bcbs

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. Craig F Caplan 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 ID9335181544
PECOS Enrollment IDI20050527000345
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
228 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services51 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
36 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

91.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.54
Improvement Activities40

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.

RADIOLOGY & INTERVENTIONAL ASSOCIATES OF METAIRIE LLC
Radiology (Diagnostic Radiology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-4133
RICHARD DOUGLAS DEMOSS MD
Pathology (Anatomic Pathology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 545-5683
UNIVERSITY HEALTHCARE SYSTEM, L.C.
Ambulance
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-7152
RACHEL DEMAHY APRN, FNP
Nurse Practitioner (Family)
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-5190
JAY GONG MD
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-4000
DR. IVAN SHERMAN M.D.
Emergency Medicine (Emergency Medical Services)
4200 HOUMA BLVD, EMERGENCY ROOM
METARIE, LA 70006
Jefferson Parish (504) 456-5428
LANCE R MORELLO
Nurse Anesthetist, Certified Registered
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-4000
MR. TRAVIS WILLIAM HILL MD
Emergency Medicine
4200 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-5684

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 Craig Caplan's NPI number?

The NPI number for Craig Caplan is 1205810900. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Craig Caplan located?

Craig Caplan practices at 4200 Houma Blvd Emergency Department, Metairie, LA 70006. The listed phone number is (210) 614-0180.

What is Craig Caplan's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Craig Caplan enrolled in Medicare?

Yes. Craig 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.

Is Craig Caplan affiliated with any hospitals?

According to CMS data, Craig Caplan is affiliated with University Medical Center New Orleans and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Craig Caplan was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.