MR. LAWRENCE C KAPLAN M.D.
NPI 1861401671
Pediatrics in Essex, CT
About Mr. Lawrence C Kaplan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LAWRENCE C KAPLAN M.D. (NPI 1861401671) is an individual pediatrics provider in Essex, Connecticut, licensed in Connecticut (30889) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Lawrence C Kaplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lawrence Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1851350664 (Connecticut)
- 166 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ESSEX, CT 06426
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 Lawrence Kaplan's NPI number?
The NPI number for Lawrence Kaplan is 1861401671. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Lawrence Kaplan located?
Lawrence Kaplan practices at 252 Westbrook Rd, Essex, CT 06426. The listed phone number is (860) 358-4470.
What is Lawrence Kaplan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lawrence Kaplan enrolled in Medicare?
Yes. Lawrence Kaplan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lawrence Kaplan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Kaplan reassigns Medicare benefits to Middlesex Hospital (Middletown, CT). 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 Lawrence Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lawrence Kaplan accept?
Health plans from Taro Health list Lawrence 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 Lawrence Kaplan was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Lawrence C Kaplan, M.D. · NPI 1861401671
Pediatrics physician in Essex, Connecticut. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1861401671 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 30889 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 252 WESTBROOK RD, Essex, CT 06426-1513
- **Phone:** (860) 358-4470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Middlesex Hospital (NPI 1760454334, Middletown, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861401671) · Data from the CMS NPPES public registry.