LAUREN P KAPLAN MD
NPI 1679658397
Ophthalmology in Tucson, AZ

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5240 E KNIGHT DR, STE 104, TUCSON, AZ 85712(520) 795-4202(520) 326-5317 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lauren P Kaplan Md NPPES

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

LAUREN P KAPLAN MD (NPI 1679658397) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (22391) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1990).

NPPES Registry Identity

NPI1679658397
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLAUREN P KAPLANCredential: MD
Location Address5240 E KNIGHT DR, STE 104Tucson, AZ 85712-2122
Mailing Address5240 E Knight Dr, Ste 104Tucson, AZ 85712-2122 · (520) 795-4202 · Fax (520) 326-5317
Fax(520) 326-5317
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1990
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 19, 2007
NPI 1679658397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AZ · 22391
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.

5240 E KNIGHT DR, Tucson, AZ 85712

Other Identifiers 3

Medicare UPINF78189
Medicaid310376AZ
Medicare PINZ25336AZ

Accepted 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

Lauren P 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 ID4789708579
PECOS Enrollment IDI20100831000709
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 14

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.
748 services488 patients
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.
406 services405 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).
292 services292 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.
282 services278 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.
231 services226 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.
86 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%204 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,578 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%2,319 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,541 patients
Patients screened: 100% · 1,541 patients
100%42 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%1,195 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,606 patients
Patients totalRate: 0% · 1,606 patients
0%1,606 patients5/55-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 20

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

Internal Medicine (Infectious Disease)
5240 E KNIGHT DR, SUITE 114
TUCSON, AZ 85712
Ophthalmology
5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712
Internal Medicine (Infectious Disease)
5240 E KNIGHT DR, SUITE #114
TUCSON, AZ 85712
Ophthalmology
5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712
Ophthalmology
5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712
Obstetrics & Gynecology (Gynecology)
5240 E KNIGHT DR, SUITE 112
TUCSON, AZ 85712
Surgery (Vascular Surgery)
5240 E KNIGHT DR, SUITE 116
TUCSON, AZ 85712
General Practice
5240 E KNIGHT DR, SUITE 100
TUCSON, AZ 85712

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 Lauren Kaplan's NPI number?

The NPI number for Lauren Kaplan is 1679658397. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Lauren Kaplan located?

Lauren Kaplan practices at 5240 E Knight Dr Ste 104, Tucson, AZ 85712. The listed phone number is (520) 795-4202.

What is Lauren Kaplan's specialty?

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

Is Lauren Kaplan enrolled in Medicare?

Yes. Lauren 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 Lauren Kaplan accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Lauren 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 Lauren Kaplan was last updated on October 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.