DR. TERRY G. KAPLAN MD
NPI 1316152218
Family Medicine in Mount Vernon, NY

Q: What is Terry Kaplan's NPI number?

The NPI number for Terry Kaplan is 1316152218. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Terry Kaplan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Terry Kaplan was last updated on July 21, 2022. 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 May 14, 2007PECOS Enrolled

107 W 4TH ST, MOUNT VERNON, NY 10550(914) 699-7200(914) 699-0837 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 24, 2017, Jan 12, 2017 (3 updates tracked since 2017).

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About Dr. Terry G. Kaplan Md NPPES

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

DR. TERRY G. KAPLAN MD (NPI 1316152218) is an individual family medicine provider in Mount Vernon, New York, licensed in New York (202912) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316152218

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TERRY G. KAPLANCredential: MD

Location Address107 W 4TH STMount Vernon, NY 10550-4002

Mailing Address107 West 4th StreetMount Vernon, NY 10550-4002 · (914) 699-7200 · Fax (914) 699-0837

Phone(914) 699-7200

Fax(914) 699-0837

Sole ProprietorNo

Enumeration DateMay 14, 2007

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1316152218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 202912

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

107 W 4TH ST, Mount Vernon, NY 10550

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Other Identifiers 1

Medicaid01862995NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Terry G. 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 Terry Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Project Renewal Inc

15 mi

Primary Care

8 EAST THIRD STREET
New York, NY 10003

Reassigned Medicare billing, New York enrollment
25 clinicians in this Medicare group

NPI 1598770018 (212) 620-0340

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 10550 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 20

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

MS. DEEPTHI SARA SONY MD

Internal Medicine

107 W 4TH ST, ADMINISTRATION
MOUNT VERNON, NY 10550

Westchester County (914) 699-7200

MS. JULIE ANNE TYLER MIDWIFE

Midwife