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JONATHAN KAPLAN MD
NPI 1285713487
Internal Medicine - Endocrinology, Diabetes & Metabolism in Great Neck, NY

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
13.21/100
CMS Quality Rating
1000 NORTHERN BLVD, SUITE 240, GREAT NECK, NY 11021(516) 829-0802(516) 487-9433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Kaplan Md NPPES

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

JONATHAN KAPLAN MD (NPI 1285713487) is an individual endocrinology, diabetes & metabolism provider in Great Neck, New York, licensed in New York (203765) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1285713487
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJONATHAN KAPLANCredential: MD
Location Address1000 NORTHERN BLVD, SUITE 240Great Neck, NY 11021-5312
Mailing Address1000 Northern Blvd, Suite 240Great Neck, NY 11021-5312 · (516) 829-0802 · Fax (516) 487-9433
Phone(516) 829-0802
Fax(516) 487-9433
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285713487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 203765
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1000 NORTHERN BLVD, Great Neck, NY 11021
Open in Google Maps ↗

Other Identifiers 3

Medicaid01875938NY
Medicare UPING72258NY
Medicare ID-Type Unspecified36N451NY

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

Jonathan Kaplan Md 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 ID4486603008
PECOS Enrollment IDI20050120000540
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 6

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,940 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,092 services637 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.
196 services167 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
95 services95 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services31 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.
50 services50 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

13.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost44.06

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
9 suppliers60 claims767 services$18.12 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers60 claims1,880 services$2.32 avg. paid by Medicare
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each A4235
DME-Other DME · category DE017N
3 suppliers18 claims18 services$0.81 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims18 services$175.47 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
120 suppliers515 claims1,745 services$6.14 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
7 suppliers44 claims44 services$2.94 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 20

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

SOUNDVIEW MEDICAL GROUP, PLLC
Internal Medicine
1000 NORTHERN BLVD, SUITE 175
GREAT NECK, NY 11021
Nassau County (516) 439-5223
NY MEDICAL HEALTHCARE P.C
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021
Nassau County (516) 482-0500
ORTHOPAEDIC CARE OF LONG ISLAND PC
Orthopaedic Surgery
1000 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021
Nassau County (516) 482-0302
LAURENCE N. SPIER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1000 NORTHERN BLVD, SUITE 380
GREAT NECK, NY 11021
Nassau County (516) 773-0096
DR. RICHARD PAUL STECHEL M.D.
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Nassau County (516) 466-8900
DAVID GODFRIED MD PC
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1000 NORTHERN BLVD, SUITE 250
GREAT NECK, NY 11021
Nassau County (516) 439-4766
MR. MICHAEL J BORDOY OTR/L
Occupational Therapist
1000 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 466-9730
BRYAN BARACALDO DPT
Physical Therapist
1000 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 466-9730

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 Jonathan Kaplan's NPI number?

The NPI number for Jonathan Kaplan is 1285713487. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jonathan Kaplan located?

Jonathan Kaplan practices at 1000 Northern Blvd Suite 240, Great Neck, NY 11021. The listed phone number is (516) 829-0802.

What is Jonathan Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jonathan Kaplan enrolled in Medicare?

Yes. Jonathan 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.

Is Jonathan Kaplan affiliated with any hospitals?

According to CMS data, Jonathan Kaplan is affiliated with Boca Raton Regional Hospital, North Shore University Hospital, Northwell Hospital Glen Cove and St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Jonathan 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.