DR. STUART I KAPLAN OD
NPI 1790776219
Optometrist in Cape Coral, FL

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4120 DEL PRADO BLVD S, CAPE CORAL, FL 33904(239) 542-2020(239) 541-1492 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stuart I Kaplan Od NPPES

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

DR. STUART I KAPLAN OD (NPI 1790776219) is an individual optometrist in Cape Coral, Florida, licensed in Florida (OPC 3653) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790776219
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STUART I KAPLANCredential: OD
Location Address4120 DEL PRADO BLVD SCape Coral, FL 33904-7165
Mailing AddressPo Box 101468Cape Coral, FL 33910-1468 · (239) 542-2020 · Fax (239) 541-1492
Fax(239) 541-1492
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 3, 2005
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
NPI 1790776219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC 3653
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4120 DEL PRADO BLVD S, Cape Coral, FL 33904

Other Identifiers 1

Medicaid620797900FL

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

Dr. Stuart I Kaplan Od 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 ID3476726365
PECOS Enrollment IDI20111110000129
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 13

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
929 services912 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
864 services778 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
342 services335 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
219 services219 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
214 services201 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
198 services135 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33904 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Ophthalmology
4120 DEL PRADO BLVD S
CAPE CORAL, FL 33904
Ophthalmology
4120 DEL PRADO BLVD S
CAPE CORAL, FL 33904
Clinic/Center (Ophthalmologic Surgery)
4120 DEL PRADO BLVD S
CAPE CORAL, FL 33904
Anesthesiology
4120 DEL PRADO BLVD S
CAPE CORAL, FL 33904
Ophthalmology
4120 DEL PRADO BLVD S
CAPE CORAL, FL 33904
Optometrist
4120 DEL PRADO BLVD S
CAPE CORAL, FL 33904

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 Stuart Kaplan's NPI number?

The NPI number for Stuart Kaplan is 1790776219. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Stuart Kaplan located?

Stuart Kaplan practices at 4120 Del Prado Blvd S, Cape Coral, FL 33904. The listed phone number is (239) 542-2020.

What is Stuart Kaplan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Stuart Kaplan enrolled in Medicare?

Yes. Stuart 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 Stuart Kaplan accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Stuart 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 Stuart Kaplan was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.