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MS. LISA KAPLIN D.O
NPI 1689019655
Orthopaedic Surgery in Rockledge, PA

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
75.7/100
CMS Quality Rating
888 FOX CHASE RD, ROCKLEDGE, PA 19046(215) 745-4050(215) 633-9388 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2019, Sep 23, 2019 (2 updates tracked since 2019).

About Ms. Lisa Kaplin D.o NPPES

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

MS. LISA KAPLIN D.O (NPI 1689019655) is an individual orthopaedic surgery provider in Rockledge, Pennsylvania, licensed in Pennsylvania (FK6867711) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689019655
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameMS. LISA KAPLINCredential: D.O
Location Address888 FOX CHASE RDRockledge, PA 19046-4437
Mailing Address1648 Huntingdon Pike, Medical Staff Office 1st FlrMeadowbrook, PA 19046-8001 · (215) 938-3450 · Fax (215) 938-3829
Phone(215) 745-4050
Fax(215) 633-9388
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1689019655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · FK6867711
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
888 FOX CHASE RD, Rockledge, PA 19046
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Kaplin D.o 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 ID3072890607
PECOS Enrollment IDI20190823000157
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Kaplin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hr Physician Services
Same address
Orthopaedic Surgery
888 FOX CHASE RD
Rockledge, PA 19046
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 360 clinicians in this Medicare group
NPI 1912744590 (215) 914-4123
Orthopedic Surgery & Rehabilitation Associates LLC
Same address
Orthopaedic Surgery
888 FOX CHASE RD
Rockledge, PA 19046
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 14 clinicians in this Medicare group
NPI 1760993000 (215) 379-6772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
85 services52 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
80 services32 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
48 services31 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.
32 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19046 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

75.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.56
Promoting Interoperability97
Improvement Activities40
Cost66.96

Reported Quality Measures

Chlamydia Screening for Women
37%38 patients
Closing the Referral Loop: Receipt of Specialist Report
45%702 patients3/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
53%78 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,745 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
52%713 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,841 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,198 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 1,236 patients
Patients screened: 94% · 1,236 patients
17%105 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%242 patients4/55-star benchmark: 91%
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.

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier21 claims21 services$69.75 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 14

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

MARGARET R TULL PT, DPT, CHT
Physical Therapist
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 663-8050
DR. EMILY ABRAMSON-CHEN M.D.
Family Medicine (Sports Medicine)
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 379-6772
ORTHOPEDIC SURGERY & REHABILITATION ASSOCIATES LLC
Orthopaedic Surgery
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 745-4050
AMIE PELLICONE DPT
Physical Therapist
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 663-8050
CHRISTOPHER JOHN ADAMSKI PTA
Physical Therapy Assistant
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 663-8050
ORTHOPAEDIC SURGERY & REHABILITATION ASSOCIATES, P.C.
Occupational Therapist
888 FOX CHASE RD, 2ND FLOOR
ROCKLEDGE, PA 19046
Montgomery County (215) 663-8050
MARIE PATRICIA MCTAMNEY MSPT
Physical Therapist
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 663-8050
MERRY ZOU PT, DPT
Physical Therapist
888 FOX CHASE RD
ROCKLEDGE, PA 19046
Montgomery County (215) 745-4050

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 Lisa Kaplin's NPI number?

The NPI number for Lisa Kaplin is 1689019655. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Lisa Kaplin located?

Lisa Kaplin practices at 888 Fox Chase Rd, Rockledge, PA 19046. The listed phone number is (215) 745-4050.

What is Lisa Kaplin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lisa Kaplin enrolled in Medicare?

Yes. Lisa Kaplin 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.

Which organizations bill Medicare for Lisa Kaplin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kaplin reassigns Medicare benefits to 2 organizations: Hr Physician Services (Rockledge, PA) and Orthopedic Surgery & Rehabilitation Associates LLC (Rockledge, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Kaplin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Kaplin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Lisa Kaplin 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 Lisa Kaplin affiliated with any hospitals?

According to CMS data, Lisa Kaplin is affiliated with Holy Redeemer Hospital And Medical Center and Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Kaplin was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.