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DR. ERIC WILLIAM KAPLAN M.D.
NPI 1215964374
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2323 N LAKE DR, ATTN: BEHAVIORAL HEALTH, 7TH FLOOR, MILWAUKEE, WI 53211(414) 291-1620(414) 291-5969 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric William Kaplan M.d. NPPES

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

DR. ERIC WILLIAM KAPLAN M.D. (NPI 1215964374) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (34236) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Northwestern University Feinberg Medical School (1983).

NPPES Registry Identity

NPI1215964374
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ERIC WILLIAM KAPLANCredential: M.D.
Location Address2323 N LAKE DR, ATTN: BEHAVIORAL HEALTH, 7TH FLOORMilwaukee, WI 53211-4508
Mailing Address2323 N Lake Dr, Attn: Behavioral Health, 7th FloorMilwaukee, WI 53211-4508 · (414) 291-1620 · Fax (414) 291-5969
Phone(414) 291-1620
Fax(414) 291-5969
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1983
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 11, 2012
✔ NPI 1215964374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 34236
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2323 N LAKE DR, Milwaukee, WI 53211
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Other Names 1

Professional Name (2)Eric W. Kaplan, Md Sc

Other Identifiers 3

Medicare ID-Type Unspecified73469WI
Medicare UPINE73249WI
Medicaid31952500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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. Eric William 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 ID4385827328
PECOS Enrollment IDI20110329000211
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 Eric Kaplan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee Inc
Same address
Multi-Specialty
2323 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1225071491 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
Same address
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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 9

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.
83 services28 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
75 services14 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.
56 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services26 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
38 services35 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.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

NATALIA RUMAS MD
Emergency Medicine
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 290-6720
GRETCHEN JANET WADEWITZ PT
Physical Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1066
RAVEN JULIUS SANDIFER JR. PHARMD
Pharmacist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1068
DR. SYDNEY S BISHOP PHARMD
Pharmacist (Critical Care)
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1068
DR. RICHARD C. LENNERTZ JR. M.D.
Pain Medicine (Interventional Pain Medicine)
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1000
MRS. SUSAN K. VANDERTIE RD CDE
Dietitian, Registered
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1143
BIANA KOTLYAR M.D.
Psychiatry & Neurology (Psychiatry)
2323 N LAKE DR, 1ST FLOOR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1620
MS. ANN MARIE FISCHER OTR0
Occupational Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1066

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 Eric Kaplan's NPI number?

The NPI number for Eric Kaplan is 1215964374. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Eric W. Kaplan, MD Sc.

Where is Eric Kaplan located?

Eric Kaplan practices at 2323 N Lake Dr Attn: Behavioral Health, 7th Floor, Milwaukee, WI 53211. The listed phone number is (414) 291-1620.

What is Eric Kaplan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Eric Kaplan enrolled in Medicare?

Yes. Eric 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 Eric Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Kaplan reassigns Medicare benefits to 2 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Eric Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Eric 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 Eric Kaplan affiliated with any hospitals?

According to CMS data, Eric Kaplan is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Eric Kaplan was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.