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KATHERINE M KAPLAN MD
NPI 1316057482
Obstetrics & Gynecology in Bahama, NC

Active since August 30, 2006PECOS Enrolled
97.15/100
CMS Quality Rating
8516 JOHNSON MILL RD, BAHAMA, NC 27503(715) 387-5161 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine M Kaplan Md NPPES

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

KATHERINE M KAPLAN MD (NPI 1316057482) is an individual obstetrics & gynecology provider in Bahama, North Carolina, licensed in North Carolina (38525) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kinston.

NPPES Registry Identity

NPI1316057482
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE M KAPLANCredential: MD
Location Address8516 JOHNSON MILL RDBahama, NC 27503-9239
Mailing Address8516 Johnson Mill RdBahama, NC 27503-9239
Phone(715) 387-5161
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1316057482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 38525✔ Licensed in WI · 27911
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8516 JOHNSON MILL RD, Bahama, NC 27503
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 Doctors Dr Ste E1Kinston, NC 28501-1584 · Phone (252) 775-5930 · Fax (252) 208-1177

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine M Kaplan 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peacehealth
2,788 mi
Diagnostic Radiology
3100 TONGASS AVE
Ketchikan, AK 99901
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1396705539 (Alaska)
  • 156 clinicians in this Medicare group
NPI 1801965736 (907) 228-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27503 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

97.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.69
Promoting Interoperability100
Improvement Activities40
Cost86.57

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 Katherine Kaplan's NPI number?

The NPI number for Katherine Kaplan is 1316057482. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Katherine Kaplan located?

Katherine Kaplan practices at 8516 Johnson Mill Rd, Bahama, NC 27503. The listed phone number is (715) 387-5161.

What is Katherine Kaplan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Kaplan enrolled in Medicare?

Yes. Katherine Kaplan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Kaplan reassigns Medicare benefits to Peacehealth (Ketchikan, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Kaplan accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Katherine Kaplan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Kaplan was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.