DR. STEVEN ROBERT KAPLAN M.D. P.A.
NPI 1215922034
Internal Medicine - Gastroenterology in Aventura, FL

Q: What is Steven Kaplan's NPI number?

The NPI number for Steven Kaplan is 1215922034. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Steven 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 Steven Kaplan was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

21.84/100

CMS Quality Rating

21097 NE 27TH CT STE 500, AVENTURA, FL 33180(786) 654-5440(786) 654-5441 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 12, 2025, Nov 5, 2024 (2 updates tracked since 2024).

On this page

About Dr. Steven Robert Kaplan M.d. P.a. NPPES

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

DR. STEVEN ROBERT KAPLAN M.D. P.A. (NPI 1215922034) is an individual gastroenterology provider in Aventura, Florida, licensed in Florida (ME21504) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of University Of Louisville School Of Medicine (1972).

NPPES Registry Identity

NPI1215922034

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. STEVEN ROBERT KAPLANCredential: M.D. P.A.

Location Address21097 NE 27TH CT STE 500Aventura, FL 33180-1235

Mailing Address21097 Ne 27th Ct Ste 500Aventura, FL 33180-1235 · (786) 654-5440 · Fax (786) 654-5441

Phone(786) 654-5440

Fax(786) 654-5441

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1972

Enumeration DateSeptember 19, 2005

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1215922034 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 FL · ME21504

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 ME0021504 (FL)

21097 NE 27TH CT STE 500, Aventura, FL 33180

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Other Identifiers 3

Other92714FL · Blue Cross Blue Shield

Other62308FL · Cigna Healthcare

Other953402799FL · Aetna Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Steven Robert Kaplan M.d. P.a. 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 ID8921263187

PECOS Enrollment IDI20120713000300

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 Steven Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aventura Healthcare Specialists, LLC

Same address

Hematology & Oncology

20950 NE 27TH CT, SUITE 300
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
33 clinicians in this Medicare group

NPI 1528203114 (786) 428-0303

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 15

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.

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.

388 services194 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.

189 services185 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

88 services78 patients

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.

75 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

69 services57 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.

67 services67 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

66 services66 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

59 services49 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

34 services33 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

29 services27 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.

23 services23 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.

21 services20 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.

18 services18 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.

16 services16 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

21.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

72.81

Other Providers at the Same Location NPPES

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

SUZANNE MARIE GAVRILOVIC PA-C

Dermatology

21097 NE 27TH CT STE 500
MIAMI, FL 33180

Miami-Dade County (305) 931-6661

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 Steven Kaplan's NPI number?

The NPI number for Steven Kaplan is 1215922034. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Steven Kaplan located?

Steven Kaplan practices at 21097 NE 27th Ct Ste 500, Aventura, FL 33180. The listed phone number is (786) 654-5440.

What is Steven Kaplan's specialty?

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

Is Steven Kaplan enrolled in Medicare?

Yes. Steven 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 organization bills Medicare for Steven Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Kaplan reassigns Medicare benefits to Aventura Healthcare Specialists, LLC (Aventura, FL). 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 Steven Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Kaplan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Steven 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 Steven Kaplan affiliated with any hospitals?

According to CMS data, Steven Kaplan is affiliated with Hca Florida Aventura Hospital and Westside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Kaplan was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.