JOHN L CAPLAN MD
NPI 1386622769
Internal Medicine - Cardiovascular Disease in Hamilton, NJ

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2073 KLOCKNER RD, HAMILTON, NJ 08690(609) 584-1212(609) 584-0103 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John L Caplan Md NPPES

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

JOHN L CAPLAN MD (NPI 1386622769) is an individual cardiovascular disease provider in Hamilton, New Jersey, licensed in New Jersey (25MA06125600) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1386622769
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN L CAPLANCredential: MD
Location Address2073 KLOCKNER RDHamilton, NJ 08690
Mailing Address2073 Klockner RdHamilton, NJ 08690 · (609) 584-1212 · Fax (609) 584-0103
Fax(609) 584-0103
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJanuary 28, 2010
NPI 1386622769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA06125600
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 25MA06125600 (NJ)
2073 KLOCKNER RD, Hamilton, NJ 08690

Other Identifiers 4

Other22-3052989NJ · Tax Id
Medicare UPINF20830
Medicare ID-Type Unspecified064719NJ
Medicaid6985505NJ

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

John L 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 ID5799671269
PECOS Enrollment IDI20040511000939
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 31

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.

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.
865 services453 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
630 services376 patients
Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93241
This procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.
444 services439 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
386 services271 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
356 services136 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
288 services205 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08690 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
2073 KLOCKNER RD
HAMILTON, NJ 08690
Internal Medicine (Interventional Cardiology)
2073 KLOCKNER RD
HAMILTON, NJ 08690
Internal Medicine (Cardiovascular Disease)
2073 KLOCKNER RD
HAMILTON, NJ 08690
Physician Assistant
2073 KLOCKNER RD
HAMILTON, NJ 08690
Internal Medicine (Cardiovascular Disease)
2073 KLOCKNER RD
HAMILTON, NJ 08690
Internal Medicine (Cardiovascular Disease)
2073 KLOCKNER RD
HAMILTON, NJ 08690
Internal Medicine (Cardiovascular Disease)
2073 KLOCKNER RD
HAMILTON, NJ 08690
Nurse Practitioner (Acute Care)
2073 KLOCKNER RD
HAMILTON, NJ 08690

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 John Caplan's NPI number?

The NPI number for John Caplan is 1386622769. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is John Caplan located?

John Caplan practices at 2073 Klockner Rd, Hamilton, NJ 08690. The listed phone number is (609) 584-1212.

What is John Caplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Caplan enrolled in Medicare?

Yes. John 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.

What insurance does John Caplan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list John 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.

Is John Caplan affiliated with any hospitals?

According to CMS data, John Caplan is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for John Caplan was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.