SUMMER L. KAPLAN M.D.
NPI 1245491968
Radiology - Diagnostic Radiology in Philadelphia, PA
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
Specialties & Licenses
Other Identifiers 3
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.
Medicare Billing Reassignments
4Medicare 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.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
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
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 clinicians in this Medicare group
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.
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.
PHILADELPHIA, PA 19107
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.