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DR. MARK A KAPLAN M.D.
NPI 1215925052
Pathology - Anatomic Pathology & Clinical Pathology in Upland, PA

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD, UPLAND, PA 19013(610) 447-2282(610) 447-2254 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark A Kaplan M.d. NPPES

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

DR. MARK A KAPLAN M.D. (NPI 1215925052) is an individual anatomic pathology & clinical pathology provider in Upland, Pennsylvania, licensed in Pennsylvania (MD052168L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Hahnemann University College Of Medicine (1989).

NPPES Registry Identity

NPI1215925052
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MARK A KAPLANCredential: M.D.
Location Address1 MEDICAL CENTER BLVDUpland, PA 19013-3902
Mailing Address2501 Oregon Pike, Suite 101Lancaster, PA 17601-4890 · (717) 293-3223 · Fax (717) 390-2455
Phone(610) 447-2282
Fax(610) 447-2254
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1989
Enumeration DateOctober 6, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215925052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in PA · MD052168L
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1 MEDICAL CENTER BLVD, Upland, PA 19013
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Other Identifiers 1

Medicare UPINF82210

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. Mark A Kaplan 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 ID9133311129
PECOS Enrollment IDI20101008000694
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
424 services241 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
120 services27 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
83 services67 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
58 services28 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
58 services20 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
45 services43 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19013 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

DR. HELEN MCCARTHY DO
Pediatrics
1 MEDICAL CENTER BLVD, POB1, SUITE402
CHESTER, PA 19013
Delaware County (610) 447-6680
DR. ERIC JOHN URNOSKI PHARMD
Pharmacist
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 447-2860
DR. LEONARD F HIRSH MD
Neurological Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 428
CHESTER, PA 19013
Delaware County (610) 874-4044
CROZER ADULT DAY CENTERS - AS
Respite Care
1 MEDICAL CENTER BLVD, SILBERMAN CENTER
UPLAND, PA 19013
Delaware County (610) 447-2935
HEALTH ACCESS NETWORK
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD, ACP #334
CHESTER, PA 19013
Delaware County (610) 872-7660
PROSPECT HEALTH ACCESS NETWORK, INC.
Psychiatry & Neurology (Neurology)
1 MEDICAL CENTER BLVD, ACP STE 533
CHESTER, PA 19013
Delaware County (610) 874-1184
PROSPECT HEALTH ACCESS NETWORK, INC.
Transplant Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 220
CHESTER, PA 19013
Delaware County (610) 619-8420
HANNAH TEPLITZKY DO
Family Medicine
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 447-2000

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 Mark Kaplan's NPI number?

The NPI number for Mark Kaplan is 1215925052. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Mark Kaplan located?

Mark Kaplan practices at 1 Medical Center Blvd, Upland, PA 19013. The listed phone number is (610) 447-2282.

What is Mark Kaplan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mark Kaplan enrolled in Medicare?

Yes. Mark 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.

Is Mark Kaplan affiliated with any hospitals?

According to CMS data, Mark Kaplan is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Mark Kaplan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.