HILLARY KAPLAN MD
NPI 1851483275
Internal Medicine - Rheumatology in Nashville, TN
About Hillary Kaplan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILLARY KAPLAN MD (NPI 1851483275) is an individual rheumatology provider in Nashville, Tennessee, licensed in Tennessee (MD31109) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1993).
NPPES Registry Identity
Specialties & Licenses
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
Hillary 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vanderbilt University Medical Center
Acute Care Hospitals · Nashville, TNVanderbilt Tullahoma-Harton Hospital
Acute Care Hospitals · Tullahoma, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Hillary Kaplan's NPI number?
The NPI number for Hillary Kaplan is 1851483275. It was assigned to this individual provider in the NPPES registry on September 30, 2006.
Where is Hillary Kaplan located?
Hillary Kaplan practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.
What is Hillary Kaplan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Hillary Kaplan enrolled in Medicare?
Yes. Hillary 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 Hillary Kaplan accept?
Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Hillary 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.
Is Hillary Kaplan affiliated with any hospitals?
According to CMS data, Hillary Kaplan is affiliated with Vanderbilt University Medical Center and Vanderbilt Tullahoma-Harton Hospital.
When was this NPI record last updated?
The NPPES record for Hillary Kaplan was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Hillary Kaplan, MD · NPI 1851483275
Rheumatology physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since September 30, 2006.
## Identity
- **NPI:** 1851483275 (Entity type: Individual)
- **Enumerated:** September 30, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** MD31109 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 TVC, Nashville, TN 37232-0001
- **Phone:** (615) 322-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 1993
## Record status
- **NPPES last updated:** March 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1851483275) · Data from the CMS NPPES public registry.