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DR. SETH DAVID KAPLAN M.D.
NPI 1730186925
Pediatrics in Frisco, TX

Active since July 01, 2005PECOS Enrolled
11700 TEEL PKWY STE 200, FRISCO, TX 75033(214) 618-6272(214) 618-6277 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Seth David Kaplan M.d. NPPES

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

DR. SETH DAVID KAPLAN M.D. (NPI 1730186925) is an individual pediatrics provider in Frisco, Texas, licensed in Texas (K8245) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730186925
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SETH DAVID KAPLANCredential: M.D.
Location Address11700 TEEL PKWY STE 200Frisco, TX 75033-2057
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(214) 618-6272
Fax(214) 618-6277
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1730186925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K8245
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11700 TEEL PKWY STE 200, Frisco, TX 75033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Seth David Kaplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Seth Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
41 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

BHAVANA BABBER M.D.
Pediatrics
11700 TEEL PKWY STE 200
FRISCO, TX 75033
Denton County (214) 618-6272

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 Seth Kaplan's NPI number?

The NPI number for Seth Kaplan is 1730186925. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Seth Kaplan located?

Seth Kaplan practices at 11700 Teel Pkwy Ste 200, Frisco, TX 75033. The listed phone number is (214) 618-6272.

What is Seth Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Seth Kaplan enrolled in Medicare?

Yes. Seth Kaplan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Seth Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Kaplan reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Seth Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Kaplan accept?

Health plans from Baylor Scott and White Health Plan and UnitedHealthcare list Seth 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 Seth Kaplan was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.