MICHELE C KAPLON-JONES
NPI 1225347362
Nurse Practitioner - Adult Health in Chicago, IL

Q: What is Michele Kaplon-jones's NPI number?

The NPI number for Michele Kaplon-jones is 1225347362. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Q: What is Michele Kaplon-jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since October 06, 2010PECOS EnrolledAccepts Medicare Assignment

97.71/100

CMS Quality Rating

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 (3 updates tracked since 2022).

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About Michele C Kaplon-jones NPPES

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

MICHELE C KAPLON-JONES (NPI 1225347362) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209008350) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225347362

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMICHELE C KAPLON-JONES

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919

Phone(888) 824-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 6, 2010

Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration

✔ NPI 1225347362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209008350

5841 S MARYLAND AVE, Chicago, IL 60637

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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

Michele C Kaplon-jones 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 ID8325228299

PECOS Enrollment IDI20110209000825

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 2

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.

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.

151 services99 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

97.71/100

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

Scored through an Alternative Payment Model

Quality

75.43

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

9 suppliers186 claims591 services$8.91 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

9 suppliers150 claims5,180 services$2.89 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

4 suppliers50 claims98 services$6.33 avg. paid by Medicare

Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369

DME-Orthotic Devices · category DF010N

3 suppliers23 claims100 services$2.32 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

6 suppliers49 claims131 services$3.44 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

10 suppliers229 claims6,789 services$4.74 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

2 suppliers15 claims370 services$6.00 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

2 suppliers22 claims620 services$9.12 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

6 suppliers173 claims5,958 services$8.40 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

5 suppliers80 claims1,585 services$2.49 avg. paid by Medicare

Ostomy belt with peristomal hernia support A4396

DME-Orthotic Devices · category DF010N

3 suppliers17 claims26 services$39.05 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

4 suppliers32 claims995 services$8.42 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

3 suppliers39 claims1,570 services$5.97 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

4 suppliers20 claims590 services$3.46 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430

DME-Orthotic Devices · category DF010N

4 suppliers47 claims1,105 services$7.79 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

3 suppliers26 claims1,120 services$3.47 avg. paid by Medicare

Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455

DME-Medical/Surgical Supplies · category DA000N

4 suppliers143 claims529 services$1.12 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

8 suppliers127 claims9,726 services$0.23 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057

DME-Orthotic Devices · category DF010N

7 suppliers88 claims3,835 services$8.74 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

11 suppliers122 claims5,535 services$0.21 avg. paid by Medicare

Skin barrier; solid, 6 x 6 or equivalent, each A5121

DME-Orthotic Devices · category DF010N

2 suppliers27 claims900 services$6.89 avg. paid by Medicare

Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131

DME-Orthotic Devices · category DF000N

2 suppliers14 claims26 services$13.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. DON MARTINEZ M.D.

Radiology (Diagnostic Radiology)

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 926-8318

ALEXANDRA DUMITRESCU

Internal Medicine

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (888) 824-0200

PELEG HOROWITZ

Neurological Surgery

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (888) 824-0200

SANDEEP GURBUXANI

Pathology (Hematology)

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (888) 824-0200

DR. NIREN GANDRA M.D.

Internal Medicine

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 702-0240

ALLIE DAKROUB MD MS

Internal Medicine

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 702-1000

SCOTT VASHER MD

Internal Medicine (Pulmonary Disease)

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 702-1000

DR. NATHAN CHARLES NOWALK M.D.

Internal Medicine (Pulmonary Disease)

5841 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (888) 824-0200

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 Michele Kaplon-jones's NPI number?

The NPI number for Michele Kaplon-jones is 1225347362. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Michele Kaplon-jones located?

Michele Kaplon-jones practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Michele Kaplon-jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michele Kaplon-jones enrolled in Medicare?

Yes. Michele Kaplon-jones 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 Michele Kaplon-jones affiliated with any hospitals?

According to CMS data, Michele Kaplon-jones is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Kaplon-jones was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.