JOHN DOMINIC KPLORFIA NP
NPI 1265959191
Nurse Practitioner - Family in North Andover, MA

Active since August 22, 2017PECOS EnrolledAccepts Medicare Assignment
47 HIGH ST STE 101, NORTH ANDOVER, MA 01845(978) 685-2460 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2023, Aug 22, 2017 (2 updates tracked since 2017).

About John Dominic Kplorfia Np NPPES

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

JOHN DOMINIC KPLORFIA NP (NPI 1265959191) is an individual family provider in North Andover, Massachusetts, licensed in Massachusetts (RN2313353) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265959191
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN DOMINIC KPLORFIACredential: NP
Location Address47 HIGH ST STE 101North Andover, MA 01845-2662
Mailing Address47 High St Ste 101North Andover, MA 01845-2662 · (978) 685-2460
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 22, 2017
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
NPI 1265959191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2313353
47 HIGH ST STE 101, North Andover, MA 01845

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

John Dominic Kplorfia Np 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 ID9638433642
PECOS Enrollment IDI20180427000813
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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
919 services101 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
815 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.33 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers84 claims84 services$38.94 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers26 claims26 services$40.49 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier18 claims36 services$2.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$68.18 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers210 claims210 services$13.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Adult Health)
47 HIGH ST STE 101
NORTH ANDOVER, MA 01845
Nurse Practitioner (Family)
47 HIGH ST STE 101
NORTH ANDOVER, MA 01845
Internal Medicine
47 HIGH ST STE 101
NORTH ANDOVER, MA 01845
Nurse Practitioner (Adult Health)
47 HIGH ST STE 101
NORTH ANDOVER, MA 01845
Nurse Practitioner
47 HIGH ST STE 101
NORTH ANDOVER, MA 01845

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 John Kplorfia's NPI number?

The NPI number for John Kplorfia is 1265959191. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is John Kplorfia located?

John Kplorfia practices at 47 High St Ste 101, North Andover, MA 01845. The listed phone number is (978) 685-2460.

What is John Kplorfia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Kplorfia enrolled in Medicare?

Yes. John Kplorfia 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 John Kplorfia accept?

Health plans from Anthem Blue Cross and Blue Shield list John Kplorfia 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 John Kplorfia was last updated on January 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.