MICHAEL ALAN CAPLAN MD
NPI 1275572562
Internal Medicine in Danville, VA

Q: What is Michael Caplan's NPI number?

The NPI number for Michael Caplan is 1275572562. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Michael Caplan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Caplan was last updated on July 27, 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.

Active since June 05, 2006PECOS Enrolled

125 EXECUTIVE DR, SUITE H, DANVILLE, VA 24541(434) 791-1345 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Michael Alan Caplan Md NPPES

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

MICHAEL ALAN CAPLAN MD (NPI 1275572562) is an individual internal medicine provider in Danville, Virginia, licensed in Virginia (0101039505) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275572562

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL ALAN CAPLANCredential: MD

Location Address125 EXECUTIVE DR, SUITE HDanville, VA 24541-4155

Mailing Address125 Executive Dr, Suite HDanville, VA 24541-4155 · (434) 791-1345

Phone(434) 791-1345

Sole ProprietorYes

Enumeration DateJune 5, 2006

Last NPPES UpdateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1275572562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101039505

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

125 EXECUTIVE DR, Danville, VA 24541

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Other Identifiers 3

Other078145VA · Anthem

Medicaid006022189VA

Medicaid890518CNC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Alan Caplan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

171 services162 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

154 services19 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

143 services18 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

130 services27 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

56 services25 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers101 claims250 services$6.22 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers17 claims17 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers47 claims68 services$1.17 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers94 claims94 services$19.26 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers31 claims31 services$6.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$48.79 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier17 claims17 services$10.82 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

5 suppliers172 claims172 services$112.59 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$36.61 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$4.37 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers40 claims2,400 services$6.50 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers48 claims2,550 services$0.82 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers41 claims1,305 services$0.16 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers110 claims110 services$193.26 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers58 claims58 services$25.62 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 18

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

DR. TIMOTHY WAYNE BROTHERTON M,D,

Internal Medicine (Hematology & Oncology)

125 EXECUTIVE DR, STE J
DANVILLE, VA 24541

Danville City (434) 793-0044

SYED AFTAB AHMED MD

Internal Medicine (Cardiovascular Disease)

125 EXECUTIVE DR, SUITE K
DANVILLE, VA 24541

Danville City (434) 792-7471

DR. STUART J KRAMER MD

Orthopaedic Surgery

125 EXECUTIVE DR, SUITE A
DANVILLE, VA 24541

Danville City (434) 793-4711

PIEDMONT REGIONAL EYE CENTER

Eyewear Supplier

125 EXECUTIVE DR, STE E
DANVILLE, VA 24541

Danville City (434) 799-5600

DR. JOSEPH EUGENE OBOYLE M.D.

Ophthalmology

125 EXECUTIVE DR, SUITEE, PIEDMONT REGIONAL EYE CENTER
DANVILLE, VA 24541

Danville City (434) 799-5600

DANVILLE CARDIOLOGY CENTER INC

Internal Medicine (Cardiovascular Disease)

125 EXECUTIVE DR, SUITE K
DANVILLE, VA 24541

Danville City (434) 792-7471

TIMOTHY D TORBORG ATC

Specialist/Technologist (Athletic Trainer)

125 EXECUTIVE DR, SUITE B
DANVILLE, VA 24541

Danville City (434) 793-4711

ERIC N DAVIDSON MD

Internal Medicine

125 EXECUTIVE DR, SUITE H
DANVILLE, VA 24541

Danville City (434) 791-1345

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 Michael Caplan's NPI number?

The NPI number for Michael Caplan is 1275572562. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Michael Caplan located?

Michael Caplan practices at 125 Executive Dr Suite H, Danville, VA 24541. The listed phone number is (434) 791-1345.

What is Michael Caplan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Caplan enrolled in Medicare?

Yes. Michael Caplan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Caplan was last updated on July 27, 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.