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DANIEL E. KAPLAN M.D.
NPI 1255368643
Orthopaedic Surgery - Sports Medicine in La Habra, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
1400 S HARBOR BLVD, SUITE A, LA HABRA, CA 90631(714) 879-3400(714) 441-1998 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel E. Kaplan M.d. NPPES

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

DANIEL E. KAPLAN M.D. (NPI 1255368643) is an individual sports medicine provider in La Habra, California, licensed in California (G52530) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1989).

NPPES Registry Identity

NPI1255368643
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDANIEL E. KAPLANCredential: M.D.
Location Address1400 S HARBOR BLVD, SUITE ALa Habra, CA 90631-7577
Mailing Address1400 S Harbor BlvdLa Habra, CA 90631-7577 · (714) 879-3400 · Fax (714) 441-1998
Phone(714) 879-3400
Fax(714) 441-1998
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1989
Enumeration DateJune 28, 2006
Last NPPES UpdateNovember 29, 2011
✔ NPI 1255368643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · G52530
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G52530 (CA)
1400 S HARBOR BLVD, La Habra, CA 90631
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINA52284CA
Medicare ID-Type UnspecifiedWG52530BCA
Medicare ID-Type UnspecifiedW1087ACA
Other00G525300CA · Medi-cal

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

Daniel E. 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 ID5799757100
PECOS Enrollment IDI20091203000688
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
14 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

Other Providers at the Same Location NPPES 8

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

ROY J. CAPUTO, M.D., INC.
Orthopaedic Surgery
1400 S HARBOR BLVD, STE A
LA HABRA, CA 90631
Orange County (714) 879-3400
MRS. ROSALIE GUARING NAVARRO PT
Physical Therapist
1400 S HARBOR BLVD, STE B
LA HABRA, CA 90631
Orange County (714) 441-0763
PIH HEALTH PHYSICIANS
Orthopaedic Surgery
1400 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (562) 789-5950
MICHAEL P BANTOLO P.T.
Physical Therapist
1400 S HARBOR BLVD, SUITE B
LA HABRA, CA 90631
Orange County (714) 441-0763
BINDESH A. SHAH MD
Orthopaedic Surgery
1400 S HARBOR BLVD, SUITE A
LA HABRA, CA 90631
Orange County (714) 879-3400
DR. ANDREW NGUYEN LUU M.D.
Orthopaedic Surgery
1400 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (714) 879-3400
CALIFORNIA REHABILITATION & SPORTS THERAPY
Physical Therapist
1400 S HARBOR BLVD, STE B
LA HABRA, CA 90631
Orange County (714) 441-0763
PIH HEALTH PHYSICIANS
Family Medicine
1400 S HARBOR BLVD, SUITE A
LA HABRA, CA 90631
Orange County (714) 879-3400

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 Daniel Kaplan's NPI number?

The NPI number for Daniel Kaplan is 1255368643. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Daniel Kaplan located?

Daniel Kaplan practices at 1400 S Harbor Blvd Suite A, La Habra, CA 90631. The listed phone number is (714) 879-3400.

What is Daniel Kaplan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Daniel Kaplan enrolled in Medicare?

Yes. Daniel 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.

When was this NPI record last updated?

The NPPES record for Daniel Kaplan was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.