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MADELEINE CAPLAN MD
NPI 1760004246
Obstetrics & Gynecology in Columbus, OH

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8045 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2024, May 7, 2020 (2 updates tracked since 2020).

About Madeleine Caplan Md NPPES

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

MADELEINE CAPLAN MD (NPI 1760004246) is an individual obstetrics & gynecology provider in Columbus, Ohio, licensed in Illinois (036167868) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Ohio State University College Of Medicine (2024).

NPPES Registry Identity

NPI1760004246
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMADELEINE CAPLANCredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address767 Park Ave WHighland Park, IL 60035-2400 · (847) 941-7600 · Fax (847) 941-7697
Phone(614) 293-8045
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2024
Enumeration DateMay 7, 2020
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1760004246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IL · 036167868✔ Licensed in OH · 57.249992
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.
410 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Madeleine Caplan 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 ID3870932304
PECOS Enrollment IDI20240417001742
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.

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

LARA L. VANHUYSEN C.R.N.A.
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
LAUREN TALANDA-FATH SOUTHERLAND M.D.
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Franklin County (614) 293-8305
RAFAL KOPANCZYK DO
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
RACHEL MARIE ASHWORTH CRNA
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
ADAM T. RAMEY MD
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. AMY ELIZABETH SCHULTZ PHARM.D.
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Franklin County (614) 366-6754
MAYA HARARY MD
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
NICOLE L HESS APRN-CNP
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-9600

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 Madeleine Caplan's NPI number?

The NPI number for Madeleine Caplan is 1760004246. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Madeleine Caplan located?

Madeleine Caplan practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8045.

What is Madeleine Caplan's specialty?

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

Is Madeleine Caplan enrolled in Medicare?

Yes. Madeleine Caplan 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 Madeleine Caplan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Madeleine Caplan 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 Madeleine Caplan affiliated with any hospitals?

According to CMS data, Madeleine Caplan is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Madeleine Caplan was last updated on April 9, 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.