DR. LANE M KAPLAN DO
NPI 1427162809
Emergency Medicine - Undersea and Hyperbaric Medicine in Lewiston, ME

Q: What is Lane Kaplan's NPI number?

The NPI number for Lane Kaplan is 1427162809. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Lane Kaplan's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Q: When was this NPI record last updated?

The NPPES record for Lane Kaplan was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

93 CAMPUS AVE, LEWISTON, ME 04240(207) 777-8331(207) 777-8528 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2020, Apr 25, 2019 (2 updates tracked since 2019).

On this page

About Dr. Lane M Kaplan Do NPPES

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

DR. LANE M KAPLAN DO (NPI 1427162809) is an individual undersea and hyperbaric medicine provider in Lewiston, Maine, licensed in Maine (DO1040) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1981).

NPPES Registry Identity

NPI1427162809

Entity TypeIndividualMale

Primary Taxonomy207PE0005X

Provider Legal NameDR. LANE M KAPLANCredential: DO

Location Address93 CAMPUS AVELewiston, ME 04240-6055

Mailing AddressPo Box 7291Lewiston, ME 04243-7291 · (207) 777-8950 · Fax (207) 777-8800

Phone(207) 777-8331

Fax(207) 777-8528

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1981

Enumeration DateAugust 19, 2006

Last NPPES UpdateFebruary 14, 20202 updates tracked since enumeration

✔ NPI 1427162809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PE0005X

License✔ Licensed in ME · DO1040

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Also ListedEmergency MedicineTaxonomy 207P00000X · License DO1040 (ME)

93 CAMPUS AVE, Lewiston, ME 04240

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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. Lane M Kaplan Do 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 ID3274576202

PECOS Enrollment IDI20050609000847

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 4

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 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.

183 services94 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

118 services42 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

103 services32 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.

37 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims309 services$7.15 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

2 suppliers16 claims1,480 services$0.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASHLEY BEAULIEU

Psychiatry & Neurology (Psychiatry)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 440-5902

WILLIAM D COLLINS

Emergency Medicine

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8120

CORA LEE GAVETT PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8100

KENDRA ANNE GREENE MSN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 755-3067

KRISTIN M MILBERGER CRNA

Nurse Anesthetist, Certified Registered

93 CAMPUS AVE, ST MARY'S ANESTHESIA ASSOCIATES
LEWISTON, ME 04240

Androscoggin County (207) 755-3715

UMESH C SARMA M.D.

Radiology (Diagnostic Radiology)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8482

JAMES N PLACE M.D.

Radiology (Diagnostic Radiology)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8482

ANDREA L ERLEY CRNA

Nurse Anesthetist, Certified Registered

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8442

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 Lane Kaplan's NPI number?

The NPI number for Lane Kaplan is 1427162809. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Lane Kaplan located?

Lane Kaplan practices at 93 Campus Ave, Lewiston, ME 04240. The listed phone number is (207) 777-8331.

What is Lane Kaplan's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Lane Kaplan enrolled in Medicare?

Yes. Lane 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 Lane Kaplan accept?

Health plans from Harvard Pilgrim Health Care list Lane 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 Lane Kaplan affiliated with any hospitals?

According to CMS data, Lane Kaplan is affiliated with Central Maine Medical Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lane Kaplan was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.