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DR. JEFFREY ERIC CAPLAN MD
NPI 1417060013
Surgery - Plastic and Reconstructive Surgery in Melbourne, FL

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1401(321) 434-1667 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2025, Jun 24, 2024, Jul 5, 2023 (3 updates tracked since 2023).

About Dr. Jeffrey Eric Caplan Md NPPES

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

DR. JEFFREY ERIC CAPLAN MD (NPI 1417060013) is an individual plastic and reconstructive surgery provider in Melbourne, Florida, licensed in Florida (ME93985) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1417060013
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JEFFREY ERIC CAPLANCredential: MD
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (324) 341-1401
Phone(321) 434-1401
Fax(321) 434-1667
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 16, 2006
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1417060013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · ME93985
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1350 HICKORY ST, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 3

Medicaid117296100FL
OtherWM871FL · Hfps
OtherWM799FL · Hfmg

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AmeriHealth Caritas Next, AvMed 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. Jeffrey Eric 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 ID2264446012
PECOS Enrollment IDI20060201000171, I20241115001322
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

3

Medicare enrollment records show Jeffrey Caplan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health First Physician Specialties Inc
Same address
Orthopaedic Trauma
1350 HICKORY ST
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group
NPI 1336390020 (321) 434-5055
Health First Medical Group, LLC
2.2 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055
Mcleod Physician Associates II
422 mi
Urgent Care
3015 WEST PALMETTO STREET
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1104035492 (843) 777-6870

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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 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.
33 services21 patients

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

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.

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
OB HOSPITALIST GROUP LLC
Obstetrics & Gynecology
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (864) 908-3530
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225

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 Jeffrey Caplan's NPI number?

The NPI number for Jeffrey Caplan is 1417060013. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Jeffrey Caplan located?

Jeffrey Caplan practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-1401.

What is Jeffrey Caplan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jeffrey Caplan enrolled in Medicare?

Yes. Jeffrey 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.

Which organizations bill Medicare for Jeffrey Caplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Caplan reassigns Medicare benefits to 3 organizations: Health First Physician Specialties Inc (Melbourne, FL), Health First Medical Group, LLC (Melbourne, FL) and Mcleod Physician Associates II (Florence, SC). 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 Jeffrey Caplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Caplan accept?

Health plans from 22 Health, AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Jeffrey 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 Jeffrey Caplan affiliated with any hospitals?

According to CMS data, Jeffrey Caplan is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Caplan was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.