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DR. PAUL BRIAN CHAPLIN M.D.
NPI 1487747168
Orthopaedic Surgery in Miami Beach, FL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4302 ALTON RD STE 220, MIAMI BEACH, FL 33140(305) 674-2090(305) 674-2093 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Brian Chaplin M.d. NPPES

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

DR. PAUL BRIAN CHAPLIN M.D. (NPI 1487747168) is an individual orthopaedic surgery provider in Miami Beach, Florida, licensed in Florida (ME37481) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains a secondary practice location in Aventura.

NPPES Registry Identity

NPI1487747168
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL BRIAN CHAPLINCredential: M.D.
Location Address4302 ALTON RD STE 220Miami Beach, FL 33140-2818
Mailing Address21000 Ne 28th Ave Ste 104Aventura, FL 33180-1421 · (305) 937-1999 · Fax (305) 931-9741
Phone(305) 674-2090
Fax(305) 674-2093
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1979
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1487747168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in FL · ME37481✔ Licensed in FL · 0037481
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.
4302 ALTON RD STE 220, Miami Beach, FL 33140
Open in Google Maps ↗

Secondary Practice Location 1

Location 121000 NE 28th Ave Ste 104Aventura, FL 33180-1421 · Phone (305) 937-1999 · Fax (305) 931-9741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Paul Brian Chaplin 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 ID5890981245
PECOS Enrollment IDI20101124000105
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
84 services16 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.
56 services47 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.
37 services37 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
15 services12 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

DR. KARIM SABEH M.D
Orthopaedic Surgery
4302 ALTON RD STE 220
MIAMI, FL 33140
Miami-Dade County (305) 674-2090
ARIEL CARRERO PA-C
Physician Assistant
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 535-1891
MR. BRYAN THOMAS ARNP, FNP
Nurse Practitioner (Family)
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2090
ALAN HYMAN M.D.
Family Medicine (Sports Medicine)
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2090
ALONDRA DIAZ PA- C
Physician Assistant
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
STEPHANIE SORA SHIM M.D.
Orthopaedic Surgery (Hand Surgery)
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2090
DR. POOJA SHARMA MD
Family Medicine (Sports Medicine)
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2090
DANICA DAVIES VANCE M.D.
Orthopaedic Surgery (Sports Medicine)
4302 ALTON RD STE 220
MIAMI BEACH, FL 33140
Miami-Dade County (305) 781-1766

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 Paul Chaplin's NPI number?

The NPI number for Paul Chaplin is 1487747168. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Paul Chaplin located?

Paul Chaplin practices at 4302 Alton Rd Ste 220, Miami Beach, FL 33140. The listed phone number is (305) 674-2090.

What is Paul Chaplin's specialty?

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

Is Paul Chaplin enrolled in Medicare?

Yes. Paul Chaplin 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 Paul Chaplin accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Paul Chaplin 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 Paul Chaplin affiliated with any hospitals?

According to CMS data, Paul Chaplin is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Paul Chaplin was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.