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RITA KAPLON MD
NPI 1538547385
Obstetrics & Gynecology in Asheville, NC

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
41 OAKLAND RD STE 200, ASHEVILLE, NC 28801(828) 253-5381 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rita Kaplon Md NPPES

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

RITA KAPLON MD (NPI 1538547385) is an individual obstetrics & gynecology provider in Asheville, North Carolina, licensed in North Carolina (2019-01004) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Ohio State University College Of Medicine (2015).

NPPES Registry Identity

NPI1538547385
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRITA KAPLONCredential: MD
Location Address41 OAKLAND RD STE 200Asheville, NC 28801-4821
Mailing Address41 Oakland Rd Ste 200Asheville, NC 28801-4821
Phone(828) 253-5381
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2015
Enumeration DateMay 13, 2015
Last NPPES UpdateAugust 2, 2019
✔ NPI 1538547385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 2019-01004
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
41 OAKLAND RD STE 200, Asheville, NC 28801
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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, UnitedHealthcare.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

Rita Kaplon 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 ID9234447186
PECOS Enrollment IDI20191002001861
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.

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
73%83 patients4/55-star benchmark: 93%
Cervical Cancer Screening
86%607 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
33%132 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
53%130 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
73%1,168 patients3/55-star benchmark: 100%
e-Prescribing
98%250 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%499 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
53%807 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 72% · 548 patients
Patients screened: 76% · 548 patients
17%29 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%416 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

SARAH ELIZABETH EVANCHO MD
Obstetrics & Gynecology
41 OAKLAND RD STE 200
ASHEVILLE, NC 28801
Buncombe County (828) 253-5381
ANDREAS DELANO ANTONO MD, MPH
Obstetrics & Gynecology
41 OAKLAND RD STE 200
ASHEVILLE, NC 28801
Buncombe County (828) 475-2087
MRS. EMILIE S OGREN NP
Nurse Practitioner (Women's Health)
41 OAKLAND RD STE 200
ASHEVILLE, NC 28801
Buncombe County (828) 253-5381
MELINDA ANN RAMAGE FNP
Nurse Practitioner (Family)
41 OAKLAND RD STE 200
ASHEVILLE, NC 28801
Buncombe County (828) 253-5381
MISS ELLEN HOWARD C.N.M
Midwife
41 OAKLAND RD STE 200
ASHEVILLE, NC 28801
Buncombe County (828) 253-5381

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 Rita Kaplon's NPI number?

The NPI number for Rita Kaplon is 1538547385. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Rita Kaplon located?

Rita Kaplon practices at 41 Oakland Rd Ste 200, Asheville, NC 28801. The listed phone number is (828) 253-5381.

What is Rita Kaplon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rita Kaplon enrolled in Medicare?

Yes. Rita Kaplon 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 Rita Kaplon accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Rita Kaplon 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 Rita Kaplon affiliated with any hospitals?

According to CMS data, Rita Kaplon is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Rita Kaplon was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.