SUMMER L. KAPLAN M.D.
NPI 1245491968
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
100 E PENN SQ, 9TH FLR, PHILADELPHIA, PA 19107(267) 425-9200 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Summer L. Kaplan M.d. NPPES

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

SUMMER L. KAPLAN M.D. (NPI 1245491968) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451415) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2008).

NPPES Registry Identity

NPI1245491968
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUMMER L. KAPLANCredential: M.D.
Location Address100 E PENN SQ, 9TH FLRPhiladelphia, PA 19107-3323
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-1000
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateMay 8, 2017
✔ NPI 1245491968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD451415
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 E PENN SQ, Philadelphia, PA 19107

Other Identifiers 3

Medicaid0412619NJ
Medicare PIN355910PA
Medicaid102933970002PA

Accepted 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

Summer L. 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 ID547486227
PECOS Enrollment IDI20140801002048
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

4

Medicare enrollment records show Summer Kaplan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Foot and Ankle Surgery
230 W WASHINGTON SQ, 5TH FLOOR
Philadelphia, PA 19106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
Pediatric Radiology
3401 CIVIC CENTER BLVD, RACH
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
Family Medicine
529 TERRY REILEY WAY
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 4

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

Pediatrics
100 E PENN SQ, 6TH FLOOR
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Psychiatry)
100 E PENN SQ, SUITE 400
PHILADELPHIA, PA 19107
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
100 E PENN SQ, THE WANAMAKER BLDG 9TH FLOOR
PHILADELPHIA, PA 19107
Social Worker (Clinical)
100 E PENN SQ, STE 400
PHILADELPHIA, PA 19107

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 Summer Kaplan's NPI number?

The NPI number for Summer Kaplan is 1245491968. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Summer Kaplan located?

Summer Kaplan practices at 100 E Penn Sq 9th Flr, Philadelphia, PA 19107. The listed phone number is (267) 425-9200.

What is Summer Kaplan's specialty?

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

Is Summer Kaplan enrolled in Medicare?

Yes. Summer 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 Summer Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Kaplan reassigns Medicare benefits to 4 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA), Radiology Associates Of Children's Hospital, Inc (Philadelphia, PA) and Geisinger Clinic (Pottsville, PA). 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 Summer Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summer Kaplan accept?

Health plans from AmeriHealth Caritas Next and CareSource list Summer 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 Summer Kaplan was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.