ADDISON KAPLAN OD
NPI 1225658875
Optometrist in Cambridge, MA

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
603 CONCORD AVE STE B, CAMBRIDGE, MA 02138(617) 945-2906 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 20, 2021, Apr 23, 2020 (2 updates tracked since 2020).

About Addison Kaplan Od NPPES

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

ADDISON KAPLAN OD (NPI 1225658875) is an individual optometrist in Cambridge, Massachusetts, licensed in Massachusetts (5426) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2020).

NPPES Registry Identity

NPI1225658875
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameADDISON KAPLANCredential: OD
Location Address603 CONCORD AVE STE BCambridge, MA 02138-1380
Mailing Address603 Concord Ave Ste BCambridge, MA 02138-1380 · (617) 945-2906
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2020
Enumeration DateApril 23, 2020
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1225658875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5426
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
603 CONCORD AVE STE B, Cambridge, MA 02138

Accepted Insurance

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

Addison Kaplan Od 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 ID446627806
PECOS Enrollment IDI20221028000244
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 2

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

Optometrist
603 CONCORD AVE STE B
CAMBRIDGE, MA 02138
Optometrist
603 CONCORD AVE STE B
CAMBRIDGE, MA 02138

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 Addison Kaplan's NPI number?

The NPI number for Addison Kaplan is 1225658875. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Addison Kaplan located?

Addison Kaplan practices at 603 Concord Ave Ste B, Cambridge, MA 02138. The listed phone number is (617) 945-2906.

What is Addison Kaplan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Addison Kaplan enrolled in Medicare?

Yes. Addison 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.

What insurance does Addison Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Addison 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.

When was this NPI record last updated?

The NPPES record for Addison Kaplan was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.