JAMES PAUL CAPLAN MD
NPI 1356474175
Family Medicine in Houston, TX

Q: What is James Caplan's NPI number?

The NPI number for James Caplan is 1356474175. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is James Caplan'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 James Caplan was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 March 13, 2007PECOS Enrolled

1234 CAMPTON CT, HOUSTON, TX 77055(713) 444-8960(346) 639-2040 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Mar 17, 2018, Dec 28, 2017 (3 updates tracked since 2017).

On this page

About James Paul Caplan Md NPPES

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

JAMES PAUL CAPLAN MD (NPI 1356474175) is an individual family medicine provider in Houston, Texas, licensed in Texas (H1349) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in League City.

NPPES Registry Identity

NPI1356474175

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES PAUL CAPLANCredential: MD

Location Address1234 CAMPTON CTHouston, TX 77055-7007

Mailing Address1234 Campton CtHouston, TX 77055-7007 · (713) 444-8960 · Fax (346) 639-2040

Phone(713) 444-8960

Fax(346) 639-2040

Sole ProprietorYes

Enumeration DateMarch 13, 2007

Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1356474175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H1349

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 ListedNuclear MedicineTaxonomy 207U00000X · License H1349 (TX), 2017026099 (MO), ME133775 (FL), 169670 (NY)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 169670 (NY), ME133775 (FL), 2017026099 (MO)

Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 2017026099 (MO), 169670 (NY), ME133775 (FL), H1349 (TX)

Also ListedNuclear Medicine · In Vivo & In Vitro Nuclear MedicineTaxonomy 207UN0903X · License H1349 (TX)

1234 CAMPTON CT, Houston, TX 77055

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Secondary Practice Location 1

Location 12785 Gulf Fwy S Ste 115League City, TX 77573-4989 · Phone (832) 738-1913 · Fax (281) 991-3800

Other Identifiers 1

Medicaid171700101AR

Accepted Insurance

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

James Paul Caplan 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 77055 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy

Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed

100%45 patients

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.

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 James Caplan's NPI number?

The NPI number for James Caplan is 1356474175. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is James Caplan located?

James Caplan practices at 1234 Campton Ct, Houston, TX 77055. The listed phone number is (713) 444-8960.

What is James Caplan's specialty?

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

Is James Caplan enrolled in Medicare?

Yes. James Caplan is registered in the Medicare PECOS enrollment system.

What insurance does James Caplan accept?

Health plans from Blue Cross and Blue Shield of Texas list James Caplan 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 James Caplan was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.