DR. STUART D KAPLAN M.D.
NPI 1316940984
Internal Medicine - Rheumatology in Hewlett, NY

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1157 BROADWAY, HEWLETT, NY 11557(516) 295-4481(516) 295-4809 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stuart D Kaplan M.d. NPPES

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

DR. STUART D KAPLAN M.D. (NPI 1316940984) is an individual rheumatology provider in Hewlett, New York, licensed in New York (168123) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1985).

NPPES Registry Identity

NPI1316940984
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. STUART D KAPLANCredential: M.D.
Location Address1157 BROADWAYHewlett, NY 11557-2321
Mailing Address1157 BroadwayHewlett, NY 11557-2321 · (516) 295-4481 · Fax (516) 295-4809
Fax(516) 295-4809
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1985
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 19, 2007
NPI 1316940984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 168123
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1157 BROADWAY, Hewlett, NY 11557

Other Identifiers 3

Medicare UPINF44408
Medicare ID-Type Unspecified28H50NY
Other03406ANY · Medicare Ghi

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. Stuart D Kaplan 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 ID6507873551
PECOS Enrollment IDI20061101000031
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 68

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.
8,343 services88 patients
Measurement of antibody for assessment of autoimmune disorder, any method 86235
This procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.
2,355 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
859 services386 patients
Gammaglobulin (immune system protein) measurement 82784
Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
534 services148 patients
Measurement of complement (immune system proteins), antigen, 86160
The measurement of complement (immune system proteins) and antigen is a blood test. It helps to assess how your immune system is functioning. Complement proteins play a role in your body's immune response, and antigens trigger this response. This test helps in diagnosing and monitoring certain diseases.
532 services189 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.
506 services313 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11557 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physical Therapist
1157 BROADWAY
HEWLETT, NY 11557
Internal Medicine (Rheumatology)
1157 BROADWAY
HEWLETT, NY 11557
Internal Medicine (Rheumatology)
1157 BROADWAY
HEWLETT, NY 11557
Obstetrics & Gynecology (Gynecology)
1157 BROADWAY, SUITE3
HEWLETT, NY 11557
Internal Medicine (Rheumatology)
1157 BROADWAY
HEWLETT, NY 11557
Internal Medicine (Rheumatology)
1157 BROADWAY
HEWLETT, NY 11557
Internal Medicine (Rheumatology)
1157 BROADWAY
HEWLETT, NY 11557
Physical Therapist
1157 BROADWAY
HEWLETT, NY 11557

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 Stuart Kaplan's NPI number?

The NPI number for Stuart Kaplan is 1316940984. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Stuart Kaplan located?

Stuart Kaplan practices at 1157 Broadway, Hewlett, NY 11557. The listed phone number is (516) 295-4481.

What is Stuart Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Stuart Kaplan enrolled in Medicare?

Yes. Stuart 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.

When was this NPI record last updated?

The NPPES record for Stuart Kaplan was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.