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MICHAEL COREY ZAPLIN MD
NPI 1912228792
Hospitalist in Worcester, MA

Active since June 16, 2010PECOS Enrolled
123 SUMMER ST STE 7350, WORCESTER, MA 01608(508) 363-6849 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Aug 9, 2017 (2 updates tracked since 2017).

About Michael Corey Zaplin Md NPPES

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

MICHAEL COREY ZAPLIN MD (NPI 1912228792) is an individual hospitalist provider in Worcester, Massachusetts, licensed in Florida (ME119144) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Naples.

NPPES Registry Identity

NPI1912228792
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL COREY ZAPLINCredential: MD
Location Address123 SUMMER ST STE 7350Worcester, MA 01608-1216
Mailing Address350 7th St NNaples, FL 34102-5754 · (239) 624-3997 · Fax (239) 624-8101
Phone(508) 363-6849
Sole ProprietorNo
Enumeration DateJune 16, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1912228792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME119144
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME119144 (FL)
Also ListedPediatricsTaxonomy 208000000X · License ME119144 (FL)
123 SUMMER ST STE 7350, Worcester, MA 01608
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Secondary Practice Location 1

Location 1350 7th St NNaples, FL 34102-5754 · Phone (239) 624-3997 · Fax (239) 624-8101

Other Identifiers 3

OtherHV022TFL · Medicare
Other14U5HFL · Bcbs
Medicaid012198000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Corey Zaplin Md 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Michael Zaplin reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Docs PC
840 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485
Florida Hospital Medical Group Inc
1,087 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Northeast Florida Hospitalists Inc
1,189 mi
Hospitalist
5352 LINTON BLVD
Delray Beach, FL 33484
  • Reassigned Medicare billing, Florida enrollment
  • 140 clinicians in this Medicare group
NPI 1013036219 (561) 498-4440
Hospital Medicine Services Of Fl, LLC
1,219 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000
Collins Physician Services, LLC
1,229 mi
Hospitalist
4300 ALTON RD
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 120 clinicians in this Medicare group
NPI 1457839524 (305) 481-9776
Mg H2 LLC
1,233 mi
Hospitalist
333 SE 2ND AVE
Miami, FL 33131
  • Reassigned Medicare billing, Florida enrollment
  • 81 clinicians in this Medicare group
NPI 1710583976 (305) 697-9660
Qmc LLC
1,234 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Hha Associates LLC
1,239 mi
Hospitalist
4960 SW 72ND AVE STE 301
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 224 clinicians in this Medicare group
NPI 1265073159 (877) 832-2652

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 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%24 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$15.77 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$5.05 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
3 suppliers32 claims32 services$78.88 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 3

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

AHMED K. GAYED M.D.
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849
PARTH PATEL M.D.
Internal Medicine
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849
JAYANTHI KRISHNAPRAKASH MD
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849

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 Michael Zaplin's NPI number?

The NPI number for Michael Zaplin is 1912228792. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Michael Zaplin located?

Michael Zaplin practices at 123 Summer St Ste 7350, Worcester, MA 01608. The listed phone number is (508) 363-6849.

What is Michael Zaplin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Zaplin enrolled in Medicare?

Yes. Michael Zaplin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Zaplin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Zaplin reassigns Medicare benefits to 8 organizations: First Docs PC (Naperville, IL), Florida Hospital Medical Group Inc (Orlando, FL), Northeast Florida Hospitalists Inc (Delray Beach, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL), Collins Physician Services, LLC (Miami Beach, FL) and 3 more organizations, listed in the Medicare section above. Each 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 Michael Zaplin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Zaplin accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Michael Zaplin 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 Michael Zaplin was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.