DANIEL KAPLAN
NPI 1407847890
Dermatology in Pittsburgh, PA

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING, PITTSBURGH, PA 15213(412) 647-4200 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2021, Jan 23, 2017 (2 updates tracked since 2017).

About Daniel Kaplan NPPES

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

DANIEL KAPLAN (NPI 1407847890) is an individual dermatology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD456078) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1998).

NPPES Registry Identity

NPI1407847890
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDANIEL KAPLAN
Location Address3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDINGPittsburgh, PA 15213-3403
Mailing Address2 Hot Metal St, Quantum One, Suite 001Pittsburgh, PA 15203-2348
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1998
Enumeration DateNovember 3, 2005
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPI 1407847890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD456078
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.
3601 5TH AVE, Pittsburgh, PA 15213

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

Daniel Kaplan 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 ID7214919570
PECOS Enrollment IDI20151028002254
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 3

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 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.
18 services17 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.
14 services12 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Internal Medicine (Rheumatology)
3601 5TH AVE, SUITE 3B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine
3601 5TH AVE, SUITE 3A
PITTSBURGH, PA 15213
Physician Assistant
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, 610 FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Pharmacist (Pharmacotherapy)
3601 5TH AVE, FALK MEDICAL BLDG., SUITE 3A
PITTSBURGH, PA 15213
Dietitian, Registered
3601 5TH AVE, STE 1-B, ROOM 145-B
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213

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 Daniel Kaplan's NPI number?

The NPI number for Daniel Kaplan is 1407847890. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Daniel Kaplan located?

Daniel Kaplan practices at 3601 5th Ave Suite 5A Falk Medical Building, Pittsburgh, PA 15213. The listed phone number is (412) 647-4200.

What is Daniel Kaplan's specialty?

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

Is Daniel Kaplan enrolled in Medicare?

Yes. Daniel 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.

When was this NPI record last updated?

The NPPES record for Daniel Kaplan was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.