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DR. RICHARD EDWARD CAPLAN M.D.
NPI 1831170166
Surgery in Houston, TX

Active since November 14, 2005PECOS Enrolled
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030(713) 441-5141(713) 790-6470 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Edward Caplan M.d. NPPES

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

DR. RICHARD EDWARD CAPLAN M.D. (NPI 1831170166) is an individual surgery provider in Houston, Texas, licensed in Texas (F6505) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831170166
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RICHARD EDWARD CAPLANCredential: M.D.
Location Address6550 FANNIN ST, SUITE 1601Houston, TX 77030-2717
Mailing Address6550 Fannin St, Suite 1601Houston, TX 77030-2717 · (713) 441-5141 · Fax (713) 790-6470
Phone(713) 441-5141
Fax(713) 790-6470
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJanuary 17, 2017
✔ NPI 1831170166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · F6505
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License F6505 (TX)
6550 FANNIN ST, Houston, TX 77030
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Other Identifiers 8

Medicare PIN380059YMVQTX
Medicare PIN380059ZSWDTX
Other8GD686TX · Bcbs
Other8EV166TX · Bcbs
Medicare UPINC14172TX
Medicaid043709704TX
OtherP00022224TX · Medicare Railroad
Medicaid043709703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Edward Caplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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 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.
51 services42 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.
43 services43 patients
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.
26 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services25 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims765 services$9.50 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims116 services$320.27 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims116 services$8.02 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims116 services$25.06 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 20

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

MEGAN MCCLANAHAN
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-5155
MARIANNE CARLSON PSYD
Psychologist (Clinical)
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (346) 248-2040
MARIE MCLAIN P.A.
Physician Assistant
6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030
Harris County (713) 441-1100
DALIA MOGHAZY MD
Obstetrics & Gynecology
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 790-3311
YVONNE I-FANG CHU M.D.
Ophthalmology
6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030
Harris County (713) 798-6100
DR. SAM JERRY LONG D.D.S.
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Harris County (713) 797-0846
THOMAS W KNIGHT MD
Internal Medicine
6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030
Harris County (713) 441-0006
DR. JOOHI JIMENEZ-SHAHED M.D.
Psychiatry & Neurology (Neurology)
6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030
Harris County (713) 798-5975

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 Richard Caplan's NPI number?

The NPI number for Richard Caplan is 1831170166. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Richard Caplan located?

Richard Caplan practices at 6550 Fannin St Suite 1601, Houston, TX 77030. The listed phone number is (713) 441-5141.

What is Richard Caplan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Caplan enrolled in Medicare?

Yes. Richard Caplan is registered in the Medicare PECOS enrollment system.

What insurance does Richard Caplan accept?

Health plans from Community Health Choice and WellPoint list Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Caplan was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.