DR. JULIA KAPLUN M.D.
NPI 1306809181
Specialist in Suffern, NY

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
93.64/100
CMS Quality Rating
156 ROUTE 59 STE C1, SUFFERN, NY 10901(845) 357-3838(845) 357-8930 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Julia Kaplun M.d. NPPES

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

DR. JULIA KAPLUN M.D. (NPI 1306809181) is an individual specialist in Suffern, New York, licensed in New York (238634) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Of Suffern, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2001).

NPPES Registry Identity

NPI1306809181
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. JULIA KAPLUNCredential: M.D.
Location Address156 ROUTE 59 STE C1Suffern, NY 10901-5010
Mailing Address156 Route 59 Ste C1Suffern, NY 10901-5010
Fax(845) 357-8930
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2001
Enumeration DateApril 11, 2006
Last NPPES UpdateSeptember 10, 2015
NPI 1306809181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 238634
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
156 ROUTE 59 STE C1, Suffern, NY 10901

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

Dr. Julia Kaplun 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 ID9830100247
PECOS Enrollment IDI20060524000180
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 31

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.
5,940 services62 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
637 services307 patients
Thyroid hormone, t3 measurement, total 84480
The T3 Total Test measures the amount of thyroid hormone T3 in your blood. This hormone, produced by the thyroid gland, is crucial for body's metabolism and energy production. Abnormal levels may indicate a thyroid disorder.
593 services299 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
591 services298 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
589 services296 patients
Uric acid level, blood 84550
A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.
565 services282 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

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.

93.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.47
Improvement Activities40
Cost80.14

Reported Quality Measures

Controlling High Blood Pressure
82%383 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%290 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%2,142 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%439 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%941 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 63% · 787 patients
Patients screened: 65% · 787 patients
57%23 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
34 suppliers126 claims373 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers61 claims80 services$1.04 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
9 suppliers121 claims125 services$201.97 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 2

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
156 ROUTE 59 STE C1
SUFFERN, NY 10901
Internal Medicine
156 ROUTE 59 STE C1
SUFFERN, NY 10901

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 Julia Kaplun's NPI number?

The NPI number for Julia Kaplun is 1306809181. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Julia Kaplun located?

Julia Kaplun practices at 156 Route 59 Ste C1, Suffern, NY 10901. The listed phone number is (845) 357-3838.

What is Julia Kaplun's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Julia Kaplun enrolled in Medicare?

Yes. Julia Kaplun 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 Julia Kaplun affiliated with any hospitals?

According to CMS data, Julia Kaplun is affiliated with Good Samaritan Hospital Of Suffern and St Anthony Community Hospital.

When was this NPI record last updated?

The NPPES record for Julia Kaplun was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.