DR. EDWARD J. KAPLAN M.D.
NPI 1477587830
Radiology - Radiation Oncology in Coconut Creek, FL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
4848 COCONUT CREEK PKWY, SUITE 100, COCONUT CREEK, FL 33063(954) 379-4848(954) 642-3634 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2016, Aug 10, 2016, Mar 1, 2016 and 3 more (6 updates tracked since 2015).

About Dr. Edward J. Kaplan M.d. NPPES

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

DR. EDWARD J. KAPLAN M.D. (NPI 1477587830) is an individual radiation oncology provider in Coconut Creek, Florida, licensed in Florida (ME71083) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1989).

NPPES Registry Identity

NPI1477587830
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. EDWARD J. KAPLANCredential: M.D.
Location Address4848 COCONUT CREEK PKWY, SUITE 100Coconut Creek, FL 33063-3904
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(954) 642-3634
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1989
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 20, 20166 updates tracked since enumeration
NPI 1477587830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in FL · ME71083
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4848 COCONUT CREEK PKWY, Coconut Creek, FL 33063

Other Identifiers 23

Other200834220FL · Humana
Other7681680FL · Aetna Non-hmo
OtherP300144FL · Freedom
Other31567FL · Bcbs
Other7299291FL · Group Health Insurance
Other9194427FL · Cigna
Other10979FL · Wellcare
Medicare PIN31567UFL
Medicare PIN31567CFL
Other200834220FL · United Healthcare
Other7480FL · Dimension
Other203962FL · Avmed
Other10907FL · Tenet Total Health Plan
Other200834220FL · Dimension
Other4570646FL · Aetna
Other3744706FL · Aetna
Other200834220FL · Guardian
Other203962FL · Av Med Health Plan
OtherP01584476FL · Rr Medicare
Other31567YFL · Bcbs/health Options
OtherF94513FL · Vista Health Plan
OtherP963011FL · Optimum
Medicare PIN31567WFL

Accepted 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. Edward J. 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 ID8022004290
PECOS Enrollment IDI20040422001183
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.

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
1,236 services42 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
1,043 services48 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
285 services52 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
237 services50 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
73 services45 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.
72 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33063 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
66%115 patients3/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
70%650 patients3/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%481 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
79%3,358 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%216 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
98%1,303 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%266 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%672 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 655 patients
Patients tobacco: 97% · 655 patients
85%61 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%266 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%266 patients1/55-star benchmark: 79%
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.

Other Providers at the Same Location NPPES 2

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

Radiology (Radiation Oncology)
4848 COCONUT CREEK PKWY, SUITE 100
COCONUT CREEK, FL 33063
Neurological Surgery
4848 COCONUT CREEK PKWY, 200
COCONUT CREEK, FL 33063

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 Edward Kaplan's NPI number?

The NPI number for Edward Kaplan is 1477587830. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Edward Kaplan located?

Edward Kaplan practices at 4848 Coconut Creek Pkwy Suite 100, Coconut Creek, FL 33063. The listed phone number is (954) 379-4848.

What is Edward Kaplan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Edward Kaplan enrolled in Medicare?

Yes. Edward 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 Edward Kaplan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Edward 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 Edward Kaplan was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.