DR. ROBERT DAVID KAPLAN M.D.
NPI 1407810476
Internal Medicine - Gastroenterology in Boynton Beach, FL

Q: What is Robert Kaplan's NPI number?

The NPI number for Robert Kaplan is 1407810476. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Robert Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Robert Kaplan was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

82.63/100

CMS Quality Rating

2800 S SEACREST BLVD STE 240, BOYNTON BEACH, FL 33435(561) 732-9200(561) 734-9240 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2019, Mar 17, 2018, Oct 30, 2017 (3 updates tracked since 2017).

On this page

About Dr. Robert David Kaplan M.d. NPPES

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

DR. ROBERT DAVID KAPLAN M.D. (NPI 1407810476) is an individual gastroenterology provider in Boynton Beach, Florida, licensed in Florida (ME132562) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Delray Medical Center, and maintains a secondary practice location in Boynton Beach.

NPPES Registry Identity

NPI1407810476

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ROBERT DAVID KAPLANCredential: M.D.

Location Address2800 S SEACREST BLVD STE 240Boynton Beach, FL 33435-7946

Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (305) 468-4185

Phone(561) 732-9200

Fax(561) 734-9240

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1979

Enumeration DateApril 14, 2006

Last NPPES UpdateMay 24, 20193 updates tracked since enumeration

✔ NPI 1407810476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in FL · ME132562✔ Licensed in NC · 9400086

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9400086 (NC)

2800 S SEACREST BLVD STE 240, Boynton Beach, FL 33435

Open in Google Maps ↗

Secondary Practice Location 1

Location 17270 W Boynton Beach Blvd Ste B1Boynton Beach, FL 33437-3805 · Phone (561) 738-5772 · Fax (561) 738-0096

Other Identifiers 6

Other4779PNC · Bcbs Nc

Other5423NC · Partners Medicare

Other43651NC · Medcost

Medicaid021891700FL

Other4077197NC · Aetna

Medicaid894779PNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AvMed, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert David 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 ID3577616317

PECOS Enrollment IDI20170718001436, I20240213004106

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.

Medicare Billing Reassignments

Medicare enrollment records show Robert Kaplan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastro Health, LLC

36 mi

Gastroenterology

12251 TAFT ST STE 401
Pembroke Pines, FL 33026

Reassigned Medicare billing, Florida enrollment
325 clinicians in this Medicare group

NPI 1457026932 (954) 433-5900

Vidant Medical Group Affiliates LLC

647 mi

Multi-Specialty

2100 STANTONSBURG RD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
39 clinicians in this Medicare group

NPI 1437549896 (252) 847-2181

Moses Cone Medical Services, Inc.

661 mi

Internal Medicine

1200 N ELM ST
Greensboro, NC 27401

Reassigned Medicare billing, North Carolina enrollment
351 clinicians in this Medicare group

NPI 1427095249 (336) 832-9943

Kingman Healthcare, Inc

2,095 mi

General Acute Care Hospital

3269 N STOCKTON HILL RD
Kingman, AZ 86409

Reassigned Medicare billing, Arizona enrollment
418 clinicians in this Medicare group

NPI 1265423917 (928) 681-8655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

676 services386 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

350 services333 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

108 services107 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.

54 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

48 services32 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

47 services47 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

37 services35 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

35 services35 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.

35 services35 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

26 services25 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

25 services25 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

15 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

13 services12 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

13 services12 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

13 services13 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100258

Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33435 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

82.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.96

Promoting Interoperability

100

Improvement Activities

Cost

67.14

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.

GASTRO HEALTH, LLC

Internal Medicine (Gastroenterology)

2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435

Palm Beach County (561) 732-2900

DR. SOHAIL N SHAIKH M.D.

Internal Medicine (Gastroenterology)

2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435

Palm Beach County (561) 732-2900

MS. DEBRA KAREN KERR ARNP

Nurse Practitioner (Primary Care)

2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435

Palm Beach County (561) 732-2900

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 Robert Kaplan's NPI number?

The NPI number for Robert Kaplan is 1407810476. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Robert Kaplan located?

Robert Kaplan practices at 2800 S Seacrest Blvd Ste 240, Boynton Beach, FL 33435. The listed phone number is (561) 732-9200.

What is Robert Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Kaplan enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Kaplan reassigns Medicare benefits to 4 organizations: Gastro Health, LLC (Pembroke Pines, FL), Vidant Medical Group Affiliates LLC (Greenville, NC), Moses Cone Medical Services, Inc. (Greensboro, NC) and Kingman Healthcare, Inc (Kingman, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Kaplan accept?

Health plans from 22 Health, AvMed, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Robert 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.

Is Robert Kaplan affiliated with any hospitals?

According to CMS data, Robert Kaplan is affiliated with Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Kaplan was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.