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

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: August 16, 2026.

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

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 is a graduate of Js Weill Medical College, Cornell University (1979).

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
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

Other Identifiers 6

Other4779PNC · Bcbs Nc
Other5423NC · Partners Medicare
Other43651NC · Medcost
Medicaid021891700FL
Other4077197NC · Aetna
Medicaid894779PNC

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

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.

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

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
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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.

Internal Medicine (Gastroenterology)
2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435
Internal Medicine (Gastroenterology)
2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435
Nurse Practitioner (Primary Care)
2800 S SEACREST BLVD STE 240
BOYNTON BEACH, FL 33435

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.

What insurance does Robert Kaplan accept?

Health plans from AvMed, Blue Cross Blue Shield of Arizona, Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint 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.