DR. JONATHAN ROBERT MANNING KAPLAN M.D.
NPI 1467751685
Orthopaedic Surgery in Orange, CA

Q: What is Jonathan Kaplan's NPI number?

The NPI number for Jonathan Kaplan is 1467751685. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Q: What is Jonathan Kaplan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kaplan was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 28, 2011PECOS EnrolledAccepts Medicare Assignment

52.6/100

CMS Quality Rating

280 S MAIN ST, STE 200, ORANGE, CA 92868(714) 634-4567 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jonathan Robert Manning Kaplan M.d. NPPES

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

DR. JONATHAN ROBERT MANNING KAPLAN M.D. (NPI 1467751685) is an individual orthopaedic surgery provider in Orange, California, licensed in North Carolina (2022-02947) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2009).

NPPES Registry Identity

NPI1467751685

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JONATHAN ROBERT MANNING KAPLANCredential: M.D.

Location Address280 S MAIN ST, STE 200Orange, CA 92868-3852

Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4555

Phone(714) 634-4567

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2009

Enumeration DateMarch 28, 2011

Last NPPES UpdateJanuary 23, 2024

NPPES CertifiedJanuary 23, 2024

✔ NPI 1467751685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in NC · 2022-02947✔ Licensed in CA · A116333

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 ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License A116333 (CA)

280 S MAIN ST, Orange, CA 92868

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Jonathan Robert Manning Kaplan M.d. 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 ID8022322379

PECOS Enrollment IDI20230627001228

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 12

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.

127 services88 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.

103 services79 patients

Incision of joint capsule of foot and toe 28270

An incision of the joint capsule of the foot and toe is a procedure where a small cut is made to access the joint capsule in your foot or toe. This is often done to treat conditions like arthritis or injury. It can help to relieve pain and improve mobility.

46 services16 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

45 services19 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe 28308

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

38 services11 patients

Reconstruction of soft tissue angular deformity of toe 28313

Reconstruction of soft tissue angular deformity of the toe is a procedure to correct abnormal bending in the toe. It involves adjusting soft tissues like tendons and ligaments to restore the toe's normal alignment. This can ease discomfort and improve foot function.

31 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Harvest of graft from small bone 20900

Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.

15 services14 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.

15 services15 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

13 services13 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

52.6/100

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

Scored as part of a group practice

Quality

38.46

Improvement Activities

Cost

54.84

Reported Quality Measures

Documentation of Current Medications in the Medical Record

0%338 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

16%88 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%286 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 38% · 208 patients

38%208 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 91 patients

Patients totalRate: 1% · 91 patients

1%91 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114

DME-Other DME · category DE000N

2 suppliers11 claims11 services$45.14 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$23.77 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$6.46 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier40 claims40 services$234.35 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.

TOM CHOW PA-C

Physician Assistant

280 S MAIN ST, STE 200
ORANGE, CA 92868

Orange County (714) 634-4567

SHELBY MCILVAINE PA-C

Physician Assistant

280 S MAIN ST
ORANGE, CA 92868

Orange County (714) 634-4567

PABLO P PRIETTO MD

Orthopaedic Surgery

280 S MAIN ST, SUITE 200
ORANGE, CA 92868

Orange County (714) 634-4567

MARK N HALIKIS MD

Orthopaedic Surgery (Hand Surgery)

280 S MAIN ST, SUITE 200
ORANGE, CA 92868

Orange County (714) 634-4567

JEFFREY E DECKEY MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

280 S MAIN ST, STE 200
ORANGE, CA 92868

Orange County (714) 634-4567

SCOTT P FISCHER MD

Orthopaedic Surgery (Sports Medicine)

280 S MAIN ST, STE 200
ORANGE, CA 92868

Orange County (714) 634-4567

MIGUEL P PRIETTO MD

Orthopaedic Surgery (Sports Medicine)

280 S MAIN ST, SUITE 200
ORANGE, CA 92868

Orange County (714) 634-4567

RODOLPHO M SOLORZANO PAC

Physician Assistant

280 S MAIN ST, STE 200
ORANGE, CA 92868

Orange County (714) 634-4567

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 Jonathan Kaplan's NPI number?

The NPI number for Jonathan Kaplan is 1467751685. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Jonathan Kaplan located?

Jonathan Kaplan practices at 280 S Main St Ste 200, Orange, CA 92868. The listed phone number is (714) 634-4567.

What is Jonathan Kaplan's specialty?

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

Is Jonathan Kaplan enrolled in Medicare?

Yes. Jonathan 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 Jonathan Kaplan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Jonathan 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 Jonathan Kaplan affiliated with any hospitals?

According to CMS data, Jonathan Kaplan is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Kaplan was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.