DR. ANDREA B KAPLAN MD
NPI 1790872273
Family Medicine - Adult Medicine in Greenvale, NY

Q: What is Andrea Kaplan's NPI number?

The NPI number for Andrea Kaplan is 1790872273. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Dr. Andrea B Frank.

Q: What is Andrea Kaplan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Kaplan was last updated on March 17, 2021. 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.

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment

2200 NORTHERN BLVD STE 116, GREENVALE, NY 11548(516) 609-0346(516) 609-0353 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2021, Dec 14, 2018 (2 updates tracked since 2018).

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About Dr. Andrea B Kaplan Md NPPES

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

DR. ANDREA B KAPLAN MD (NPI 1790872273) is an individual adult medicine provider in Greenvale, New York, licensed in New York (200525) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1790872273

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameDR. ANDREA B KAPLANCredential: MD

Location Address2200 NORTHERN BLVD STE 116Greenvale, NY 11548-1220

Mailing Address245 Old Country RdMelville, NY 11747-2726 · (631) 465-6141 · Fax (631) 465-1967

Phone(516) 609-0346

Fax(516) 609-0353

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 6, 2006

Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1790872273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in NY · 200525

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 200525 (NY)

2200 NORTHERN BLVD STE 116, Greenvale, NY 11548

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Other Names 1

Other Name (5)Dr. Andrea B Frank

Other Identifiers 1

Medicaid0627201NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrea B 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 ID3072688993

PECOS Enrollment IDI20080812000459

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 Andrea Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chs Physician Partners, PC

Same address

Pain Medicine

2200 NORTHERN BLVD
Greenvale, NY 11548

Reassigned Medicare billing, New York enrollment
944 clinicians in this Medicare group

NPI 1124497771 (631) 465-6225

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

202 services148 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

191 services191 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

117 services90 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

77 services71 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

51 services50 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

48 services48 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

33 services33 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

27 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

25 services22 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

25 services25 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

13 services12 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330181

Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County

Emergency services

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330182

Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County

Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11548 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers16 claims60 services$6.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. AVNI THAKORE M.D.

Internal Medicine (Cardiovascular Disease)

2200 NORTHERN BLVD STE 116
GREENVALE, NY 11548

Nassau County (516) 563-7930

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 Andrea Kaplan's NPI number?

The NPI number for Andrea Kaplan is 1790872273. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Dr. Andrea B Frank.

Where is Andrea Kaplan located?

Andrea Kaplan practices at 2200 Northern Blvd Ste 116, Greenvale, NY 11548. The listed phone number is (516) 609-0346.

What is Andrea Kaplan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Andrea Kaplan enrolled in Medicare?

Yes. Andrea 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.

Which organization bills Medicare for Andrea Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Kaplan reassigns Medicare benefits to Chs Physician Partners, PC (Greenvale, NY). 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 Andrea Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Kaplan affiliated with any hospitals?

According to CMS data, Andrea Kaplan is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove, St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Kaplan was last updated on March 17, 2021. 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.