DR. SETH A KAPLAN M.D.
NPI 1518968775
Internal Medicine - Gastroenterology in Raleigh, NC

Q: What is Seth Kaplan's NPI number?

The NPI number for Seth Kaplan is 1518968775. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Seth Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Seth Kaplan was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 09, 2005PECOS Enrolled

3100 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27612(919) 781-7500(919) 882-8822 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Seth A Kaplan M.d. NPPES

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

DR. SETH A KAPLAN M.D. (NPI 1518968775) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (39628) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518968775

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SETH A KAPLANCredential: M.D.

Location Address3100 BLUE RIDGE RD, SUITE 300Raleigh, NC 27612-8036

Mailing Address3237 Blue Ridge RdRaleigh, NC 27612-8036 · (919) 781-7500

Phone(919) 781-7500

Fax(919) 882-8822

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateNovember 16, 2023

NPPES CertifiedNovember 14, 2023

✔ NPI 1518968775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NC · 39628

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3100 BLUE RIDGE RD, Raleigh, NC 27612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Seth A Kaplan M.d. 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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

421 services138 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

110 services110 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.

80 services75 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

68 services68 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

63 services57 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.

55 services52 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

35 services34 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

35 services35 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

29 services28 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

29 services22 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

14 services13 patients

Liver function blood test panel 80076

A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

BECKY MOORE

Physician Assistant

3100 BLUE RIDGE RD, #103
RALEIGH, NC 27612

Wake County (919) 719-2250

JENNIFER R DINUNZIO M.A., CCC-SLP

Speech-Language Pathologist

3100 BLUE RIDGE RD, SUITE 201
RALEIGH, NC 27612

Wake County (919) 787-1374

LESLIE SMITH M.S., CCC-A

Audiologist-Hearing Aid Fitter

3100 BLUE RIDGE RD, SUITE 201
RALEIGH, NC 27612

Wake County (919) 787-1374

RICHARD WALTER KURZMANN MD

Obstetrics & Gynecology

3100 BLUE RIDGE RD, SUITE 300
RALEIGH, NC 27612

Wake County (919) 781-7500

DR. CHARLES F BARISH M.D.

Internal Medicine (Gastroenterology)

3100 BLUE RIDGE RD, SUITE 300
RALEIGH, NC 27612

Wake County (919) 781-7500

CAPITOL EAR, NOSE AND THROAT, P.A.

Hearing Aid Equipment

3100 BLUE RIDGE RD, SUITE 201
RALEIGH, NC 27612

Wake County (919) 787-1374

DR. WAYNE L HARPER M.D.

Internal Medicine

3100 BLUE RIDGE RD, SUITE 300
RALEIGH, NC 27612

Wake County (919) 781-7500

DR. DONALD B CAMPBELL M.D.

Internal Medicine

3100 BLUE RIDGE RD, SUITE 300
RALEIGH, NC 27612

Wake County (919) 781-7500

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 Seth Kaplan's NPI number?

The NPI number for Seth Kaplan is 1518968775. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Seth Kaplan located?

Seth Kaplan practices at 3100 Blue Ridge Rd Suite 300, Raleigh, NC 27612. The listed phone number is (919) 781-7500.

What is Seth Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Seth Kaplan enrolled in Medicare?

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

What insurance does Seth Kaplan accept?

Health plans from Blue Cross and Blue Shield of NC list Seth 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 Seth Kaplan was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.