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MICHAEL S KAPLAN MD
NPI 1326049073
Family Medicine in Lee, MA

Active since August 03, 2005PECOS Enrolled
CHP - LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD, LEE, MA 01238(413) 243-0536(413) 243-8040 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 23, 2017 (2 updates tracked since 2017).

About Michael S Kaplan Md NPPES

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

MICHAEL S KAPLAN MD (NPI 1326049073) is an individual family medicine provider in Lee, Massachusetts, licensed in Massachusetts (49794) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326049073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL S KAPLANCredential: MD
Location AddressCHP - LEE FAMILY PRACTICE, 11 QUARRY HILL ROADLee, MA 01238
Mailing AddressP.o. Box 30Great Barrington, MA 01230 · (413) 528-9311 · Fax (413) 644-0274
Phone(413) 243-0536
Fax(413) 243-8040
Sole ProprietorNo
Enumeration DateAugust 3, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1326049073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 49794
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 49794 (MA)
CHP - LEE FAMILY PRACTICE, Lee, MA 01238
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Other Identifiers 4

Medicaid110005600AMA
Other049794MA · Tufts
Medicaid0168505MA
OtherB11801MA · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Michael S 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 01238 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%141 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
64%422 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
47%68 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers27 claims67 services$4.41 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims64 services$2.35 avg. paid by Medicare
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$33.28 avg. paid by Medicare
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing E0439
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$81.81 avg. paid by Medicare
Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$52.39 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$50.04 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 3

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

MELANIE R LEVITAN MD
Family Medicine
CHP - LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD
LEE, MA 01238
Berkshire County (413) 243-0536
ANN T HUMMEL NP
Nurse Practitioner
CHP - LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD
LEE, MA 01238
Berkshire County (413) 243-0536
MS. ASHLI MINOR RDN, LDN
Dietitian, Registered
CHP - LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD
LEE, MA 01238
Berkshire County (413) 243-0536

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 Michael Kaplan's NPI number?

The NPI number for Michael Kaplan is 1326049073. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Michael Kaplan located?

Michael Kaplan practices at Chp - Lee Family Practice 11 Quarry Hill Road, Lee, MA 01238. The listed phone number is (413) 243-0536.

What is Michael Kaplan's specialty?

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

Is Michael Kaplan enrolled in Medicare?

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

What insurance does Michael Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael 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 Michael 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.