EMMA KAPLAN PA-C
NPI 1316209943
Physician Assistant in Newark, DE

Active since June 11, 2012PECOS EnrolledAccepts Medicare Assignment
80.07/100
CMS Quality Rating
4745 OGLETOWN STANTON RD STE 225, NEWARK, DE 19713(302) 731-2888(302) 731-7049 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emma Kaplan Pa-c NPPES

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

EMMA KAPLAN PA-C (NPI 1316209943) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0000819) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316209943
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA KAPLANCredential: PA-C
Location Address4745 OGLETOWN STANTON RD STE 225Newark, DE 19713-1387
Mailing Address211 Executive Dr Ste 11Newark, DE 19702-3358 · (302) 731-2888 · Fax (302) 731-7049
Fax(302) 731-7049
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 11, 2012
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1316209943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in DE · C5-0000819
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4745 OGLETOWN STANTON RD STE 225, Newark, DE 19713

Accepted Insurance

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

Emma Kaplan Pa-c 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 ID7214193804
PECOS Enrollment IDI20120726000132
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 10

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
2,300 services44 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
585 services123 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
213 services159 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.
131 services117 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services42 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

80.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.59
Promoting Interoperability100
Improvement Activities40
Cost54.98

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers69 claims69 services$40.60 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 19

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

Physician Assistant
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Specialist/Technologist (Athletic Trainer)
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Specialist/Technologist (Athletic Trainer)
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Physician Assistant
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Physician Assistant
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Family Medicine (Sports Medicine)
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Orthopaedic Surgery
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4745 OGLETOWN STANTON RD STE 225
NEWARK, DE 19713

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 Emma Kaplan's NPI number?

The NPI number for Emma Kaplan is 1316209943. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Emma Kaplan located?

Emma Kaplan practices at 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713. The listed phone number is (302) 731-2888.

What is Emma Kaplan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emma Kaplan enrolled in Medicare?

Yes. Emma 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.

What insurance does Emma Kaplan accept?

Health plans from AmeriHealth Caritas Next list Emma 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 Emma Kaplan was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.