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LEE KAPLAN MD
NPI 1417912171
Orthopaedic Surgery - Sports Medicine in Miami, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 689-1328(305) 689-5774 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lee Kaplan Md NPPES

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

LEE KAPLAN MD (NPI 1417912171) is an individual sports medicine provider in Miami, Florida, licensed in Florida (ME72717) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1417912171
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameLEE KAPLANCredential: MD
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 689-1328 · Fax (305) 689-5774
Phone(305) 689-1328
Fax(305) 689-5774
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1995
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 7, 2013
✔ NPI 1417912171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME72717
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1400 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH81470
Medicaid34226500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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

Lee Kaplan 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 ID7214945054
PECOS Enrollment IDI20081023000511
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 Reassignment

Medicare enrollment records show Lee Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Clinical Cardiac Electrophysiology
1295 NW 14TH ST, SUITE A
Miami, FL 33125
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1104232578 (305) 243-5554

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.

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.
50 services39 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.
20 services19 patients

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

KEREN SHAHAR M.D.
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-5511
MS. MELANIE ELEANOR GARCIA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-8500
NAYRA SANCHO LARA APRN
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-4000
ARLEN VEGA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 325-5511
ROLANDO GARCIA MD
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3229
DR. JONATHAN GUY AZOULAI M.D.
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2121
DR. EMORY MATTHEW MANTEN
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2023
DR. CARISSA RAMOS CRUZ DMD
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136
Miami-Dade County (305) 689-1127

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 Lee Kaplan's NPI number?

The NPI number for Lee Kaplan is 1417912171. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Lee Kaplan located?

Lee Kaplan practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 689-1328.

What is Lee Kaplan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Lee Kaplan enrolled in Medicare?

Yes. Lee 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 organization bills Medicare for Lee Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Kaplan reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Lee Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Kaplan accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Lee 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.

When was this NPI record last updated?

The NPPES record for Lee Kaplan was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.