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STEWART KAPLAN M.D.
NPI 1275644023
Pediatrics in Massapequa, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
20 HICKSVILLE RD, SUITE 6, MASSAPEQUA, NY 11758(516) 541-8035(516) 541-8084 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stewart Kaplan M.d. NPPES

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

STEWART KAPLAN M.D. (NPI 1275644023) is an individual pediatrics provider in Massapequa, New York, licensed in New York (136197) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1275644023
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTEWART KAPLANCredential: M.D.
Location Address20 HICKSVILLE RD, SUITE 6Massapequa, NY 11758-5819
Mailing Address20 Hicksville Rd, Suite 6Massapequa, NY 11758-5819 · (516) 541-8035 · Fax (516) 541-8084
Phone(516) 541-8035
Fax(516) 541-8084
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1275644023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 136197
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 136197 (NY)
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 136197 (NY)
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 136197 (NY)
20 HICKSVILLE RD, Massapequa, NY 11758
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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

Stewart 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 ID6608838057
PECOS Enrollment IDI20041028000840
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 7

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
5,403 services110 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
2,051 services113 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
344 services11 patients
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.
136 services69 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
23 services22 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11758 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 12

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

MARJORIE J ISDITH DO PC
Family Medicine
20 HICKSVILLE RD, SUITE 5
MASSAPEQUA, NY 11758
Nassau County (516) 795-5700
ROBERT MUCCIOLO MD PC
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Nassau County (516) 541-5500
KATHERINE ANN CARROLL PA-C
Physician Assistant
20 HICKSVILLE RD, SUITE 2
MASSAPEQUA, NY 11758
Nassau County (516) 799-7500
SOUTH SHORE PODIATRY, PLLC
Podiatrist (Foot Surgery)
20 HICKSVILLE RD, SUITE 2
MASSAPEQUA, NY 11758
Nassau County (516) 744-0354
MRS. JENNIE LEE FARACI LCSW
Social Worker (Clinical)
20 HICKSVILLE RD, SUITE 5
MASSAPEQUA, NY 11758
Nassau County (631) 807-7937
WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Nassau County (516) 541-5500
LOCK AND KEY THERPAY, LCSW, PLLC
Social Worker (Clinical)
20 HICKSVILLE RD, SUITE 5
MASSAPEQUA, NY 11758
Nassau County (917) 403-3267
ALYSE KATHLEEN MIDDENORF
Social Worker
20 HICKSVILLE RD
MASSAPEQUA, NY 11758
Nassau County (516) 524-4468

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 Stewart Kaplan's NPI number?

The NPI number for Stewart Kaplan is 1275644023. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Stewart Kaplan located?

Stewart Kaplan practices at 20 Hicksville Rd Suite 6, Massapequa, NY 11758. The listed phone number is (516) 541-8035.

What is Stewart Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stewart Kaplan enrolled in Medicare?

Yes. Stewart 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 Stewart Kaplan was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.