MR. STEVEN E CAPLAN MD
NPI 1376516914
Dermatology in York, PA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.31/100
CMS Quality Rating
205 SAINT CHARLES WAY, YORK, PA 17402(717) 742-4666(717) 741-9649 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Steven E Caplan Md NPPES

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

MR. STEVEN E CAPLAN MD (NPI 1376516914) is an individual dermatology provider in York, Pennsylvania, licensed in Pennsylvania (MD058586L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376516914
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. STEVEN E CAPLANCredential: MD
Location Address205 SAINT CHARLES WAYYork, PA 17402
Mailing Address205 Saint Charles WayYork, PA 17402 · (717) 742-4666 · Fax (717) 741-9649
Fax(717) 741-9649
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1992
Enumeration DateFebruary 13, 2006
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
NPI 1376516914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD058586L
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
205 SAINT CHARLES WAY, York, PA 17402

Secondary Practice Locations 3

Location 191 Cumberland PkwyMechanicsburg, PA 17055-5676 · Phone (717) 972-0275 · Fax (717) 741-9649
Location 2525 McCosh StHanover, PA 17331-2238 · Phone (717) 632-2711 · Fax (717) 741-9649
Location 3246 Hanover StGettysburg, PA 17325-1911 · Phone (717) 334-2811 · Fax (717) 741-9649

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

Mr. Steven E Caplan Md 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 ID6406837673
PECOS Enrollment IDI20101022000280
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 37

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,803 services298 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.
829 services663 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
460 services405 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
394 services257 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.
307 services251 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
193 services193 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

91.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost71.04

Other Providers at the Same Location NPPES 18

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

Dermatology
205 SAINT CHARLES WAY
YORK, PA 17402
Dermatology
205 SAINT CHARLES WAY
YORK, PA 17402
Physician Assistant (Medical)
205 SAINT CHARLES WAY
YORK, PA 17402
Dermatology
205 SAINT CHARLES WAY
YORK, PA 17402
Dermatology
205 SAINT CHARLES WAY
YORK, PA 17402
Physician Assistant
205 SAINT CHARLES WAY
YORK, PA 17402
Dermatology
205 SAINT CHARLES WAY
YORK, PA 17402
Physician Assistant (Medical)
205 SAINT CHARLES WAY
YORK, PA 17402

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 Steven Caplan's NPI number?

The NPI number for Steven Caplan is 1376516914. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Steven Caplan located?

Steven Caplan practices at 205 Saint Charles Way, York, PA 17402. The listed phone number is (717) 742-4666.

What is Steven Caplan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Steven Caplan enrolled in Medicare?

Yes. Steven Caplan 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.

Is Steven Caplan affiliated with any hospitals?

According to CMS data, Steven Caplan is affiliated with Wellspan York Hospital, Gettysburg Hospital and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Steven Caplan was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.