DR. MARNIE SUE KAPLAN MD
NPI 1487856621
Surgery in Mechanicsburg, PA

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
880 CENTURY DR, MECHANICSBURG, PA 17055(717) 737-4718(717) 909-0902 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 7, 2023, Jun 28, 2018 (2 updates tracked since 2018).

About Dr. Marnie Sue Kaplan Md NPPES

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

DR. MARNIE SUE KAPLAN MD (NPI 1487856621) is an individual surgery provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD432444) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1487856621
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. MARNIE SUE KAPLANCredential: MD
Location Address880 CENTURY DRMechanicsburg, PA 17055-4375
Mailing Address2104 Harrisburg Pike Ste 200Lancaster, PA 17601-2644 · (717) 544-3626 · Fax (717) 544-3628
Fax(717) 909-0902
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 1, 2007
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1487856621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD432444
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License ME98223 (FL)
880 CENTURY DR, Mechanicsburg, PA 17055

Secondary Practice Location 1

Location 12104 Harrisburg Pike Ste 200Lancaster, PA 17601 · Phone (717) 544-3626 · Fax (717) 544-3628

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. Marnie Sue 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 ID6002976842
PECOS Enrollment IDI20180711000331
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.

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.
44 services40 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
21 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.
20 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17055 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier20 claims36 services$27.11 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 9

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

Surgery
880 CENTURY DR
MECHANICSBURG, PA 17055
Clinic/Center (Multi-Specialty)
880 CENTURY DR
MECHANICSBURG, PA 17055
Specialist
880 CENTURY DR
MECHANICSBURG, PA 17055
Occupational Therapist
880 CENTURY DR
MECHANICSBURG, PA 17055
Physician Assistant
880 CENTURY DR, SECOND FLOOR
MECHANICSBURG, PA 17055
Surgery (Surgical Oncology)
880 CENTURY DR
MECHANICSBURG, PA 17055
Radiology (Radiation Oncology)
880 CENTURY DR
MECHANICSBURG, PA 17055
Physical Therapist
880 CENTURY DR
MECHANICSBURG, PA 17055

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 Marnie Kaplan's NPI number?

The NPI number for Marnie Kaplan is 1487856621. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Marnie Kaplan located?

Marnie Kaplan practices at 880 Century Dr, Mechanicsburg, PA 17055. The listed phone number is (717) 737-4718.

What is Marnie Kaplan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marnie Kaplan enrolled in Medicare?

Yes. Marnie 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 Marnie Kaplan affiliated with any hospitals?

According to CMS data, Marnie Kaplan is affiliated with Penn State Health Holy Spirit Medical Center, Penn State Health St. Joseph, Milton S Hershey Medical Center, Penn State Health Hampden Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Marnie Kaplan was last updated on September 26, 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.