ROBERT B KAPLAN MD
NPI 1922004027
Internal Medicine - Hematology in Pittsburgh, PA

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4815 LIBERTY AVE STE 322, PITTSBURGH, PA 15224(412) 578-4484(412) 578-3536 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2020, Mar 31, 2017, Feb 13, 2017 (3 updates tracked since 2017).

About Robert B Kaplan Md NPPES

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

ROBERT B KAPLAN MD (NPI 1922004027) is an individual hematology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD051794L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Hahnemann University College Of Medicine (1990).

NPPES Registry Identity

NPI1922004027
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameROBERT B KAPLANCredential: MD
Location Address4815 LIBERTY AVE STE 322Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste 322Pittsburgh, PA 15224-2156 · (412) 578-4484 · Fax (412) 578-3536
Fax(412) 578-3536
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1990
Enumeration DateJune 23, 2005
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1922004027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in PA · MD051794L
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
4815 LIBERTY AVE STE 322, Pittsburgh, PA 15224

Other Identifiers 1

Medicaid001627960PA

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

Robert B 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.

PECOS PAC ID4587709894
PECOS Enrollment IDI20100310000806
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 2

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 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.
161 services102 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224
Nurse Practitioner
4815 LIBERTY AVE STE 322
PITTSBURGH, PA 15224

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 Robert Kaplan's NPI number?

The NPI number for Robert Kaplan is 1922004027. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Robert Kaplan located?

Robert Kaplan practices at 4815 Liberty Ave Ste 322, Pittsburgh, PA 15224. The listed phone number is (412) 578-4484.

What is Robert Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Robert Kaplan enrolled in Medicare?

Yes. Robert 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.

Is Robert Kaplan affiliated with any hospitals?

According to CMS data, Robert Kaplan is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, West Penn Hospital, Jefferson Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Robert Kaplan was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.