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

Q: 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.

Q: What is Katherine Kaplan's specialty?

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

Q: 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 4 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.

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: August 09, 2026.

On this page

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

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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., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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

Quality

96.69

Promoting Interoperability

100

Improvement Activities

Cost

86.57

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.

What insurance does Katherine Kaplan accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska 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 4 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.