AVROM S CAPLAN MD
NPI 1811332646
Dermatology in New York, NY

Active since May 07, 2013Opted out of Medicare · through May 15, 2027
84.47/100
CMS Quality Rating
240 E 38TH ST FL 12, NEW YORK, NY 10016(212) 263-5015 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2021, Mar 1, 2021 (2 updates tracked since 2021).

About Avrom S Caplan Md NPPES

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

AVROM S CAPLAN MD (NPI 1811332646) is an individual dermatology provider in New York, New York, licensed in New York (299279) and active in the NPI registry since May 2013. He has opted out of Medicare through May 15, 2027 and remains eligible to order and refer, is affiliated with Bellevue Hospital Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2013).

NPPES Registry Identity

NPI1811332646
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameAVROM S CAPLANCredential: MD
Location Address240 E 38TH ST FL 12New York, NY 10016-2708
Mailing Address240 E 38th St Fl 12New York, NY 10016-2708 · (212) 263-5015
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
NPI 1811332646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 299279
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

240 E 38TH ST FL 12, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Avrom S Caplan Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2025 through May 15, 2027.

Opt-Out Effective DateMay 15, 2025
Opt-Out In Effect ThroughMay 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 11

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.
157 services84 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.
92 services67 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
80 services20 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
37 services26 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.
27 services27 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 7

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

Dermatology
240 E 38TH ST FL 12
NEW YORK, NY 10016
Dermatology
240 E 38TH ST FL 12
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
240 E 38TH ST FL 12
NEW YORK, NY 10016
Dermatology
240 E 38TH ST FL 12
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
240 E 38TH ST FL 12
NEW YORK, NY 10016
Dermatology
240 E 38TH ST FL 12
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
240 E 38TH ST FL 12
NEW YORK, NY 10016

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 Avrom Caplan's NPI number?

The NPI number for Avrom Caplan is 1811332646. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Avrom Caplan located?

Avrom Caplan practices at 240 E 38th St Fl 12, New York, NY 10016. The listed phone number is (212) 263-5015.

What is Avrom Caplan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Avrom Caplan enrolled in Medicare?

No. Avrom Caplan has opted out of Medicare through May 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Avrom Caplan affiliated with any hospitals?

According to CMS data, Avrom Caplan is affiliated with Bellevue Hospital Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Avrom Caplan was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.