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DR. NATHAN B KAPLAN MD
NPI 1447592183
Orthopaedic Surgery in Rochester, NY

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
601 ELMWOOD AVENUE, BOX 665, ROCHESTER, NY 14642(585) 275-5168 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Aug 22, 2019 (2 updates tracked since 2019).

About Dr. Nathan B Kaplan Md NPPES

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

DR. NATHAN B KAPLAN MD (NPI 1447592183) is an individual orthopaedic surgery provider in Rochester, New York, licensed in New York (300640) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (2013).

NPPES Registry Identity

NPI1447592183
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NATHAN B KAPLANCredential: MD
Location Address601 ELMWOOD AVENUE, BOX 665Rochester, NY 14642
Mailing Address601 Elmwood Avenue, Box 665Rochester, NY 14642 · (585) 275-5321
Phone(585) 275-5168
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2013
Enumeration DateMarch 20, 2013
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
✔ NPI 1447592183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 300640
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 300640 (NY)
601 ELMWOOD AVENUE, Rochester, NY 14642
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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. Nathan B 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 ID6002161221
PECOS Enrollment IDI20190913000161
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 13

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.
96 services78 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.
88 services65 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
40 services31 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services25 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
31 services27 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
28 services22 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost55.03

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.

ALEX PU M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
XIAOLAN OU MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER
ROCHESTER, NY 14642
Monroe County (585) 275-3191
GHAZI TALIB KHAN M.D.
Internal Medicine
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
YU WING YEUNG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5662
MRS. BETH ANNE DELPAPA NP
Nurse Practitioner (Family)
601 ELMWOOD AVENUE, BOX 679-Y
ROCHESTER, NY 14642
Monroe County (585) 275-4775
DR. RAVINDER SIDHU M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2734
CHRISTOPHER MALANGA M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE, BOX 679
ROCHESTER, NY 14642
Monroe County (585) 275-4290
CHUNKIT FUNG M.D.
Internal Medicine (Hematology & Oncology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5823

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 Nathan Kaplan's NPI number?

The NPI number for Nathan Kaplan is 1447592183. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Nathan Kaplan located?

Nathan Kaplan practices at 601 Elmwood Avenue Box 665, Rochester, NY 14642. The listed phone number is (585) 275-5168.

What is Nathan Kaplan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nathan Kaplan enrolled in Medicare?

Yes. Nathan 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.

Is Nathan Kaplan affiliated with any hospitals?

According to CMS data, Nathan Kaplan is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Kaplan was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.