DR. DOUGLAS S KAPLAN MD
NPI 1518948918
Ophthalmology in Highland Park, IL

Q: What is Douglas Kaplan's NPI number?

The NPI number for Douglas Kaplan is 1518948918. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Q: What is Douglas Kaplan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Kaplan was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 11, 2005PECOS Enrolled

85.34/100

CMS Quality Rating

806 CENTRAL AVE, STE 300, HIGHLAND PARK, IL 60035(847) 432-6010(847) 432-8241 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Douglas S Kaplan Md NPPES

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

DR. DOUGLAS S KAPLAN MD (NPI 1518948918) is an individual ophthalmology provider in Highland Park, Illinois, licensed in Illinois (036071082) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518948918

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DOUGLAS S KAPLANCredential: MD

Location Address806 CENTRAL AVE, STE 300Highland Park, IL 60035-5613

Mailing Address806 Central Ave, Ste 300Highland Park, IL 60035-5613 · (847) 432-6010 · Fax (847) 432-8241

Phone(847) 432-6010

Fax(847) 432-8241

Sole ProprietorNo

Enumeration DateNovember 11, 2005

Last NPPES UpdateMarch 15, 2012

✔ NPI 1518948918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036071082

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

806 CENTRAL AVE, Highland Park, IL 60035

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Other Identifiers 6

Other180042068Railroad Medicare

Medicare PINL84492IL

OtherE24413Sterling Option One

Medicare UPINE24413

Medicaid036071082IL

Other04915295Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Dr. Douglas S Kaplan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

946 services919 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

501 services486 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

383 services244 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

280 services277 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

128 services120 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

101 services101 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

79 services76 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

71 services59 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

40 services39 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

38 services36 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

34 services19 patients

Imaging of front third of eye 92132

Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.

30 services28 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

20 services13 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

17 services17 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

15 services14 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

85.34/100

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

Scored as part of a group practice

Quality

98.74

Improvement Activities

Cost

52.81

Other Providers at the Same Location NPPES 18

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

RACHEL EPSTEIN M.D.

Ophthalmology (Cornea and External Diseases Specialist)

806 CENTRAL AVE
HIGHLAND PARK, IL 60035

Lake County (847) 432-6010

TIFFANY M ANDRZEJEWSKI OD

Optometrist (Corneal and Contact Management)

806 CENTRAL AVE, SUITE 300
HIGHLAND PARK, IL 60035

Lake County (847) 432-6010

FRANCIS ALAN BUGAJ DDS

Dentist

806 CENTRAL AVE, SUITE 201
HIGHLAND PARK, IL 60035

Lake County (847) 432-8080

LAKE SHORE GASTROENTEROLOGY

Internal Medicine (Gastroenterology)

806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035

Lake County (847) 433-9840

DR. KAREN S SABLE M D

Internal Medicine (Gastroenterology)

806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035

Lake County (847) 433-9840

JOSIE LEIGH TENORE M.D.

Family Medicine (Adult Medicine)

806 CENTRAL AVE, 203
HIGHLAND PARK, IL 60035

Lake County (847) 681-8821

CHICAGO CORNEA CONSULTANTS LTD

Durable Medical Equipment & Medical Supplies

806 CENTRAL AVE, STE 300
HIGHLAND PARK, IL 60035

Lake County (847) 432-6010

TRICIA HENEGHAN AU.D.

Audiologist

806 CENTRAL AVE, SUITE 103
HIGHLAND PARK, IL 60035

Lake County (847) 433-7617

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 Douglas Kaplan's NPI number?

The NPI number for Douglas Kaplan is 1518948918. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Douglas Kaplan located?

Douglas Kaplan practices at 806 Central Ave Ste 300, Highland Park, IL 60035. The listed phone number is (847) 432-6010.

What is Douglas Kaplan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Douglas Kaplan enrolled in Medicare?

Yes. Douglas Kaplan is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Kaplan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Douglas 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 Douglas Kaplan was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.