DAVID E KAPLAN MD
NPI 1730193475
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104(215) 349-8222(215) 662-6530 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David E Kaplan Md NPPES

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

DAVID E KAPLAN MD (NPI 1730193475) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD073465L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1730193475
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDAVID E KAPLANCredential: MD
Location Address3400 SPRUCE ST, 3 DULLES BUILDINGPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 3 Dulles BuildingPhiladelphia, PA 19104-4206 · (215) 349-8222 · Fax (215) 662-6530
Fax(215) 662-6530
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 3, 2012
NPI 1730193475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD073465L
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License MD073465L (PA)
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 3

Medicare UPINH19510PA
Medicaid100887054PA
Medicare PIN077506PA

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

David E 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 ID8022008929
PECOS Enrollment IDI20040513000804
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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services12 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services21 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
19 services13 patients
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services11 patients
Colonoscopy NAN13
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
0 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104

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 David Kaplan's NPI number?

The NPI number for David Kaplan is 1730193475. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is David Kaplan located?

David Kaplan practices at 3400 Spruce St 3 Dulles Building, Philadelphia, PA 19104. The listed phone number is (215) 349-8222.

What is David Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Kaplan enrolled in Medicare?

Yes. David 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 David Kaplan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list David 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.

Is David Kaplan affiliated with any hospitals?

According to CMS data, David Kaplan is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Doylestown Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for David Kaplan was last updated on August 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.