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ALLAN JAY KAPLAN MD
NPI 1639194376
Family Medicine in Brunswick, ME

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
22 STATION AVE, SUITE 101, BRUNSWICK, ME 04011(207) 373-6848(207) 373-6849 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Allan Jay Kaplan Md NPPES

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

ALLAN JAY KAPLAN MD (NPI 1639194376) is an individual family medicine provider in Brunswick, Maine, licensed in Maine (017333) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and is a graduate of Albany Medical College Of Union University (2003).

NPPES Registry Identity

NPI1639194376
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALLAN JAY KAPLANCredential: MD
Location Address22 STATION AVE, SUITE 101Brunswick, ME 04011-2092
Mailing Address22 Station Ave, Suite 101Brunswick, ME 04011-2092 · (207) 373-6848 · Fax (207) 373-6849
Phone(207) 373-6848
Fax(207) 373-6849
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2003
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 8, 2015
✔ NPI 1639194376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ME · 017333✔ Licensed in WA · MD00045342
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.
22 STATION AVE, Brunswick, ME 04011
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Other Identifiers 1

Medicare PINME219502ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Allan Jay 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 ID345248944
PECOS Enrollment IDI20061114000617
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.
125 services51 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
110 services110 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.
100 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
90 services90 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
85 services85 patients

Hospital Affiliations CMS Care Compare

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims33 services$6.02 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 10

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

AMANDA BUBAR
Nurse Practitioner (Family)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 373-6800
NICOLE ELIZABETH HIGGINS APRN
Nurse Practitioner
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
DAVID WALLSTROM PA-C
Physician Assistant (Medical)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 406-7500
MS. JENNIFER NICOLE SOPKO PA-C
Physician Assistant (Medical)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 406-7500
MS. KAREN JOAN LUDWIG FNP
Nurse Practitioner (Family)
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Cumberland County (207) 373-6848
DR. ELLEN LYMAN LEE MD
Family Medicine
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Cumberland County (207) 373-6848
NATALIE DEWALT FNP-C
Nurse Practitioner (Family)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (864) 940-7783
DR. ANNMARIE R LATTANZI MD
Emergency Medicine
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 406-7500

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 Allan Kaplan's NPI number?

The NPI number for Allan Kaplan is 1639194376. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Allan Kaplan located?

Allan Kaplan practices at 22 Station Ave Suite 101, Brunswick, ME 04011. The listed phone number is (207) 373-6848.

What is Allan Kaplan's specialty?

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

Is Allan Kaplan enrolled in Medicare?

Yes. Allan 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.

What insurance does Allan Kaplan accept?

Health plans from Harvard Pilgrim Health Care list Allan 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.

Is Allan Kaplan affiliated with any hospitals?

According to CMS data, Allan Kaplan is affiliated with Mid Coast Hospital.

When was this NPI record last updated?

The NPPES record for Allan Kaplan was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.