DR. DANIEL I CAPLAN M.D.
NPI 1407916927
Ophthalmology in Metairie, LA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
3409 N HULLEN ST, METAIRIE, LA 70002(504) 888-2600(504) 456-9596 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel I Caplan M.d. NPPES

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

DR. DANIEL I CAPLAN M.D. (NPI 1407916927) is an individual ophthalmology provider in Metairie, Louisiana, licensed in Louisiana (MD013391) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1976).

NPPES Registry Identity

NPI1407916927
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DANIEL I CAPLANCredential: M.D.
Location Address3409 N HULLEN STMetairie, LA 70002-3486
Mailing Address3409 N Hullen StMetairie, LA 70002-3486 · (504) 888-2600 · Fax (504) 456-9596
Fax(504) 456-9596
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1976
Enumeration DateDecember 12, 2006
Last NPPES UpdateNovember 10, 2010
NPI 1407916927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in LA · MD013391
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3409 N HULLEN ST, Metairie, LA 70002

Other Identifiers 4

Medicaid1309630LA
Medicare PIN5J465B132LA
Other4432779LA · Aetna
Medicare UPINB60489LA

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. Daniel I Caplan 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 ID7416052303
PECOS Enrollment IDI20101012000256
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 14

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
545 services359 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
530 services324 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
263 services182 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.
216 services196 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
184 services129 patients
Evaluation of eye adaptation to light and dark with interpretation and report 92284
This procedure checks how your eyes adjust to different light conditions. In a dimly lit room, your eyes are first exposed to bright light. Then, the lights are turned off to see how quickly your eyes adapt to darkness. This helps identify any potential vision problems.
167 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70002 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Optometrist
3409 N HULLEN ST
METAIRIE, LA 70002
Specialist
3409 N HULLEN ST, SUITE 100
METAIRIE, LA 70002
Ophthalmology
3409 N HULLEN ST
METAIRIE, LA 70002
Eyewear Supplier
3409 N HULLEN ST
METAIRIE, LA 70002
Clinic/Center (Ambulatory Surgical)
3409 N HULLEN ST
METAIRIE, LA 70002
Ophthalmology
3409 N HULLEN ST
METAIRIE, LA 70002

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 Caplan's NPI number?

The NPI number for Daniel Caplan is 1407916927. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Daniel Caplan located?

Daniel Caplan practices at 3409 N Hullen St, Metairie, LA 70002. The listed phone number is (504) 888-2600.

What is Daniel Caplan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Daniel Caplan enrolled in Medicare?

Yes. Daniel 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 Daniel Caplan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Daniel 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.

When was this NPI record last updated?

The NPPES record for Daniel Caplan was last updated on November 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.