DR. BRAD R KAPLAN D.M.D
NPI 1275618555
Dentist - Oral and Maxillofacial Pathology in Providence, RI

Active since October 26, 2006Opted out of Medicare · through Apr 1, 2027
149 GOVERNOR ST, PROVIDENCE, RI 02906(401) 861-5100(401) 861-1035 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brad R Kaplan D.m.d NPPES

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

DR. BRAD R KAPLAN D.M.D (NPI 1275618555) is an individual oral and maxillofacial pathology provider in Providence, Rhode Island, licensed in Rhode Island (2199) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275618555
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. BRAD R KAPLANCredential: D.M.D
Location Address149 GOVERNOR STProvidence, RI 02906-3062
Mailing Address149 Governor StProvidence, RI 02906-3062 · (401) 861-5100 · Fax (401) 861-1035
Fax(401) 861-1035
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275618555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in RI · 2199
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
149 GOVERNOR ST, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Brad R Kaplan D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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 Brad Kaplan's NPI number?

The NPI number for Brad Kaplan is 1275618555. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Brad Kaplan located?

Brad Kaplan practices at 149 Governor St, Providence, RI 02906. The listed phone number is (401) 861-5100.

What is Brad Kaplan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Brad Kaplan enrolled in Medicare?

No. Brad Kaplan has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brad Kaplan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.