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DR. LAUREN ELLEN KAPLAN-SAGAL MD
NPI 1457463671
Psychiatry & Neurology - Psychiatry in Summit, NJ

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
332 SPRINGFIELD AVE, SUITE 204, SUMMIT, NJ 07901(908) 522-1166(908) 522-1186 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lauren Ellen Kaplan-sagal Md NPPES

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

DR. LAUREN ELLEN KAPLAN-SAGAL MD (NPI 1457463671) is an individual psychiatry provider in Summit, New Jersey, licensed in New Jersey (25MA07485700) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1988).

NPPES Registry Identity

NPI1457463671
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LAUREN ELLEN KAPLAN-SAGALCredential: MD
Location Address332 SPRINGFIELD AVE, SUITE 204Summit, NJ 07901-3658
Mailing Address332 Springfield Ave, Suite 204Summit, NJ 07901-3658 · (908) 522-1166 · Fax (908) 522-1186
Phone(908) 522-1166
Fax(908) 522-1186
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1988
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1457463671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA07485700
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
332 SPRINGFIELD AVE, Summit, NJ 07901
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Other Identifiers 2

Medicare UPINF28995NJ
Medicare PIN073390NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Lauren Ellen Kaplan-sagal 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 ID6305033556
PECOS Enrollment IDI20101214000559
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 Lauren Kaplan-sagal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA
4.1 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

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 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.
440 services80 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
283 services78 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
187 services22 patients
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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 4

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

DR. CHERYL ANN NOTARI PH.D.
Psychologist (Clinical)
332 SPRINGFIELD AVE, SUITE 204
SUMMIT, NJ 07901
Union County (908) 608-1114
DR. ROSALIND S. DORLEN PSY.D.
Psychologist
332 SPRINGFIELD AVE, SUITE 204
SUMMIT, NJ 07901
Union County (908) 522-1444
MELANIE KARGER PSY.D.
Psychologist
332 SPRINGFIELD AVE, STE 204
SUMMIT, NJ 07901
Union County (973) 607-7068
DR. ELISA SUSAN BOBROW PH.D.
Psychologist (Clinical Child & Adolescent)
332 SPRINGFIELD AVE
SUMMIT, NJ 07901
Union County (908) 918-9393

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 Lauren Kaplan-sagal's NPI number?

The NPI number for Lauren Kaplan-sagal is 1457463671. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Lauren Kaplan-sagal located?

Lauren Kaplan-sagal practices at 332 Springfield Ave Suite 204, Summit, NJ 07901. The listed phone number is (908) 522-1166.

What is Lauren Kaplan-sagal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lauren Kaplan-sagal enrolled in Medicare?

Yes. Lauren Kaplan-sagal 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 Lauren Kaplan-sagal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Kaplan-sagal reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). 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 Lauren Kaplan-sagal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Kaplan-sagal accept?

Health plans from Oscar Health list Lauren Kaplan-sagal 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 Lauren Kaplan-sagal was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.