MICHAEL DAVID KAPLAN M.D.
NPI 1720016595
Radiology - Vascular & Interventional Radiology in Alexandria, VA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4320 SEMINARY RD, ALEXANDRIA, VA 22304(703) 504-3000 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Jul 20, 2024, Sep 17, 2019 and 1 more (4 updates tracked since 2019).

About Michael David Kaplan M.d. NPPES

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

MICHAEL DAVID KAPLAN M.D. (NPI 1720016595) is an individual vascular & interventional radiology provider in Alexandria, Virginia, licensed in Virginia (0101267499) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Palm Beach Gardens Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1720016595
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameMICHAEL DAVID KAPLANCredential: M.D.
Location Address4320 SEMINARY RDAlexandria, VA 22304
Mailing Address8001 Forbes Pl Ste 103Springfield, VA 22151-2205 · (703) 824-3212
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1992
Enumeration DateJune 29, 2006
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1720016595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in VA · 0101267499
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MA70641 (NJ), 0101267499 (VA), ME137459 (FL)
4320 SEMINARY RD, Alexandria, VA 22304

Secondary Practice Locations 4

Location 11201 Sam Perry Blvd Ste 201Fredericksburg, VA 22401-4491 · Phone (540) 741-5611
Location 21001 Sam Perry BlvdFredericksburg, VA 22401-4453 · Phone (540) 741-5610
Location 394 Old Short Hills RdLivingston, NJ 07039-5672 · Phone (973) 322-5800
Location 44320 Seminary RdAlexandria, VA 22304 · Phone (703) 504-3000

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

Michael David Kaplan M.d. 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 ID1557391497
PECOS Enrollment IDI20190213000116, I20190807001196, I20190827001766
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 28

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
126 services95 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
91 services90 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
86 services85 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
76 services74 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
55 services53 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
54 services54 patients

Hospital Affiliations CMS Care Compare 5

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

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100176
Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County
Emergency services

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22304 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%39 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%284 patients
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 (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Radiology (Diagnostic Radiology)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Pediatrics (Neonatal-Perinatal Medicine)
4320 SEMINARY RD, SUITE 3000
ALEXANDRIA, VA 22304
Nurse Anesthetist, Certified Registered
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Physical Therapist
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Nurse Practitioner
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304

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 Michael Kaplan's NPI number?

The NPI number for Michael Kaplan is 1720016595. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Michael Kaplan located?

Michael Kaplan practices at 4320 Seminary Rd, Alexandria, VA 22304. The listed phone number is (703) 504-3000.

What is Michael Kaplan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Michael Kaplan enrolled in Medicare?

Yes. Michael 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.

Is Michael Kaplan affiliated with any hospitals?

According to CMS data, Michael Kaplan is affiliated with Palm Beach Gardens Medical Center, Delray Medical Center, Good Samaritan Medical Center, Mary Washington Hospital and Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Kaplan was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.