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MARK KAPLAN DO
NPI 1861498461
Emergency Medicine in Ellsworth, ME

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
58 LAUREL ST, ELLSWORTH, ME 04605(207) 659-5546(207) 573-1609 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Sep 26, 2024 (2 updates tracked since 2024).

About Mark Kaplan Do NPPES

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

MARK KAPLAN DO (NPI 1861498461) is an individual emergency medicine provider in Ellsworth, Maine, licensed in Maine (907) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Penobscot Valley Hospital, and maintains a secondary practice location in Blue Hill.

NPPES Registry Identity

NPI1861498461
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK KAPLANCredential: DO
Location Address58 LAUREL STEllsworth, ME 04605-2305
Mailing Address58 Laurel StEllsworth, ME 04605-2305 · (207) 659-5546 · Fax (207) 573-1609
Phone(207) 659-5546
Fax(207) 573-1609
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateJune 28, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1861498461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ME · 907
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Location 1

Location 157 Water StBlue Hill, ME 04614 · Phone (207) 374-3911 · Fax (207) 374-3986

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mark Kaplan Do 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 ID3173580503
PECOS Enrollment IDI20041216000668
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.

Hospital Affiliations CMS Care Compare 2

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

Penobscot Valley Hospital

Critical Access Hospitals · Lincoln, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201303
Location7 Transalpine Road, PO Box 368Lincoln, ME 04457 · Penobscot County
Emergency services

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04605 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 5

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
5 suppliers11 claims50 services$4.31 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$17.49 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$49.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$108.93 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 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.

MDK MEDICAL
Clinic/Center (Community Health)
58 LAUREL ST
ELLSWORTH, ME 04605
Hancock County (207) 659-5546

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 Mark Kaplan's NPI number?

The NPI number for Mark Kaplan is 1861498461. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Mark Kaplan located?

Mark Kaplan practices at 58 Laurel St, Ellsworth, ME 04605. The listed phone number is (207) 659-5546.

What is Mark Kaplan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Kaplan enrolled in Medicare?

Yes. Mark 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 Mark Kaplan accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark 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 Mark Kaplan affiliated with any hospitals?

According to CMS data, Mark Kaplan is affiliated with Penobscot Valley Hospital and Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mark Kaplan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.