RACHEL KAPLAN D.O.
NPI 1699088997
Obstetrics & Gynecology in St Augustine, FL

Q: What is Rachel Kaplan's NPI number?

The NPI number for Rachel Kaplan is 1699088997. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Q: What is Rachel Kaplan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachel Kaplan was last updated on December 11, 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.

Active since July 15, 2010PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

300 HEALTH PARK BLVD STE 3002, ST AUGUSTINE, FL 32086(904) 819-1500(904) 810-1023 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2019, Oct 14, 2016 (2 updates tracked since 2016).

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About Rachel Kaplan D.o. NPPES

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

RACHEL KAPLAN D.O. (NPI 1699088997) is an individual obstetrics & gynecology provider in St Augustine, Florida, licensed in Florida (OS16199) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2010).

NPPES Registry Identity

NPI1699088997

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameRACHEL KAPLANCredential: D.O.

Location Address300 HEALTH PARK BLVD STE 3002St Augustine, FL 32086-3703

Mailing Address300 Health Park Blvd Ste 3002St Augustine, FL 32086-3703 · (604) 819-1500 · Fax (904) 810-1023

Phone(904) 819-1500

Fax(904) 810-1023

Sole ProprietorYes

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2010

Enumeration DateJuly 15, 2010

Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration

✔ NPI 1699088997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in FL · OS16199✔ Licensed in OH · 34-011390✔ Licensed in MI · 5101018993

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.

300 HEALTH PARK BLVD STE 3002, St Augustine, FL 32086

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Other Identifiers 2

Medicaid0106309OH

Medicaid103419300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

Rachel Kaplan 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 ID3870711922

PECOS Enrollment IDI20190801000205

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.

61 services41 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

49 services49 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

30 services26 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

24 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services15 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

89.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

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.

SAMANTHA D REYNOLDS APRN

Nurse Practitioner (Family)

300 HEALTH PARK BLVD STE 3002
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-1500

STACIA LAROSE GODBOLDT CNM

Advanced Practice Midwife