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DR. PAUL TRAIANOS KAPLANIS M.D.
NPI 1497860167
Family Medicine in Fort Wayne, IN

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
6130 TRIER RD, FORT WAYNE, IN 46815(260) 422-2481(260) 969-3067 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Traianos Kaplanis M.d. NPPES

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

DR. PAUL TRAIANOS KAPLANIS M.D. (NPI 1497860167) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01031926A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1982).

NPPES Registry Identity

NPI1497860167
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL TRAIANOS KAPLANISCredential: M.D.
Location Address6130 TRIER RDFort Wayne, IN 46815-5339
Mailing Address1234 E Dupont Rd, Suite 3Fort Wayne, IN 46825-1545 · (260) 373-9700 · Fax (260) 373-9740
Phone(260) 422-2481
Fax(260) 969-3067
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1982
Enumeration DateAugust 20, 2006
Last NPPES UpdateOctober 23, 2009
✔ NPI 1497860167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01031926A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6130 TRIER RD, Fort Wayne, IN 46815
Open in Google Maps ↗

Other Identifiers 6

Other000000595578IN · Anthem
Medicare UPINB28467IN
Medicare ID-Type Unspecified055250EEIN
Medicaid100080210IN
Medicare PIN259060JIN
Other080130049IN · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Traianos Kaplanis 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 ID4981767696
PECOS Enrollment IDI20090107000089
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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
363 services358 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
136 services90 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
93 services74 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
60 services52 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
50 services49 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
49 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 15

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

SAMUEL BOW
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
KALENE SUE ECTOR BS
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
ALYSSA FEGLEY
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
ALEXIS KING
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
ANDREA ESPINOZA
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
HANNAH BARNES
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
CAMERYN ABIGAEL CRAWFORD
Behavior Analyst
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787
ALAYNA COLLINS
Behavior Technician
6130 TRIER RD
FORT WAYNE, IN 46815
Allen County (260) 203-0787

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 Kaplanis's NPI number?

The NPI number for Paul Kaplanis is 1497860167. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Paul Kaplanis located?

Paul Kaplanis practices at 6130 Trier Rd, Fort Wayne, IN 46815. The listed phone number is (260) 422-2481.

What is Paul Kaplanis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Kaplanis enrolled in Medicare?

Yes. Paul Kaplanis 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 Kaplanis accept?

Health plans from CareSource list Paul Kaplanis 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 Kaplanis affiliated with any hospitals?

According to CMS data, Paul Kaplanis is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital and Parkview Whitley Hospital.

When was this NPI record last updated?

The NPPES record for Paul Kaplanis was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.