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DR. DANIEL JONATHAN CAPLAN DDS, PHD
NPI 1205840287
Dentist - General Practice in Iowa City, IA

Active since July 28, 2006PECOS Enrolled
405 DENTAL SCIENCE BLDG W, IOWA CITY, IA 52242(319) 335-8232 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Daniel Jonathan Caplan Dds, Phd NPPES

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

DR. DANIEL JONATHAN CAPLAN DDS, PHD (NPI 1205840287) is an individual general practice provider in Iowa City, Iowa, licensed in Iowa (7337) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205840287
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANIEL JONATHAN CAPLANCredential: DDS, PHD
Location Address405 DENTAL SCIENCE BLDG WIowa City, IA 52242-1001
Mailing Address322 Dental Science Bldg SIowa City, IA 52242-1001 · (319) 335-7440 · Fax (319) 335-7451
Phone(319) 335-8232
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 10, 2014
✔ NPI 1205840287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 7337
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
405 DENTAL SCIENCE BLDG W, Iowa City, IA 52242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Jonathan Caplan Dds, Phd 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 Daniel Caplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa
0.2 mi
Dentist
322 DENTAL SCIENCE BLDG
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1609956234 (319) 335-7440

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 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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 Daniel Caplan's NPI number?

The NPI number for Daniel Caplan is 1205840287. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Daniel Caplan located?

Daniel Caplan practices at 405 Dental Science Bldg W, Iowa City, IA 52242. The listed phone number is (319) 335-8232.

What is Daniel Caplan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Daniel Caplan enrolled in Medicare?

Yes. Daniel Caplan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Caplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Caplan reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). 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 Daniel Caplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Caplan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 5 other insurers list Daniel 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 Daniel Caplan was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.