DR. TODD M KAPLAN M.D.
NPI 1245278589
Radiology - Diagnostic Radiology in New Port Richey, FL

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
92.79/100
CMS Quality Rating
5539 MARINE PKWY, NEW PORT RICHEY, FL 34652(727) 841-8225(727) 846-8549 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd M Kaplan M.d. NPPES

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

DR. TODD M KAPLAN M.D. (NPI 1245278589) is an individual diagnostic radiology provider in New Port Richey, Florida, licensed in Florida (ME58845) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Parrish Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245278589
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TODD M KAPLANCredential: M.D.
Location Address5539 MARINE PKWYNew Port Richey, FL 34652-4329
Mailing AddressPo Box 17507Clearwater, FL 33762-0507 · (727) 841-8225 · Fax (727) 846-8549
Fax(727) 846-8549
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1989
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
NPI 1245278589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in FL · ME58845
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedSpecialistTaxonomy 174400000X · License 0058845 (FL)
5539 MARINE PKWY, New Port Richey, FL 34652

Secondary Practice Locations 2

Location 1403 S Kings Ave Ste 100Brandon, FL 33511-5962 · Phone (813) 982-3460 · Fax (813) 982-3461
Location 23402 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6214 · Phone (813) 875-3950 · Fax (813) 872-2741

Other Identifiers 2

Other18583FL · Florida Blue
Medicaid372284800FL

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

Dr. Todd M 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 ID1254507775
PECOS Enrollment IDI20120105000321
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 46

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
11,547 services139 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
616 services616 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
364 services359 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
316 services316 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
180 services169 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
156 services155 patients

Hospital Affiliations CMS Care Compare 5

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

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Doctors Memorial Hospital Inc

Critical Access Hospitals · Perry, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101314
Location333 N Byron Butler PkwyPerry, FL 32347 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34652 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

92.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.51
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652
Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652
Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652
Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652
Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652
Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652
Radiology (Diagnostic Radiology)
5539 MARINE PKWY
NEW PORT RICHEY, FL 34652

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 Todd Kaplan's NPI number?

The NPI number for Todd Kaplan is 1245278589. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Todd Kaplan located?

Todd Kaplan practices at 5539 Marine Pkwy, New Port Richey, FL 34652. The listed phone number is (727) 841-8225.

What is Todd Kaplan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Todd Kaplan enrolled in Medicare?

Yes. Todd 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 Todd Kaplan accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Todd 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 Todd Kaplan affiliated with any hospitals?

According to CMS data, Todd Kaplan is affiliated with Parrish Medical Center, Sarasota Memorial Hospital, Lower Keys Medical Center, Sarasota Memorial Hospital - Venice and Doctors Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Todd Kaplan was last updated on June 22, 2023. 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.