PETER J KAPLAN MD
NPI 1942203757
Internal Medicine in Lawrenceville, GA

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045(678) 312-3273(678) 312-3282 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2021, Oct 30, 2019 (2 updates tracked since 2019).

About Peter J Kaplan Md NPPES

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

PETER J KAPLAN MD (NPI 1942203757) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (54247) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942203757
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER J KAPLANCredential: MD
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30045-7694
Mailing Address665 Duluth Hwy Ste 401Lawrenceville, GA 30046-4303 · (678) 312-0450 · Fax (678) 312-0439
Fax(678) 312-3282
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1993
Enumeration DateMay 24, 2005
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1942203757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 54247
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30045

Secondary Practice Locations 2

Location 12570 Riverside PkwyLawrenceville, GA 30046-3339 · Phone (770) 339-4260
Location 2665 Duluth Hwy Ste 401Lawrenceville, GA 30046-4303 · Phone (678) 312-0450 · Fax (678) 312-0439

Other Identifiers 1

Medicaid182139280AGA

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

Peter J 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 ID7618959263
PECOS Enrollment IDI20040607000401
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
192 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
54 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Emergency Medicine (Hospice and Palliative Medicine)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Pathology (Anatomic Pathology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045

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 Peter Kaplan's NPI number?

The NPI number for Peter Kaplan is 1942203757. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Peter Kaplan located?

Peter Kaplan practices at 1000 Medical Center Blvd, Lawrenceville, GA 30045. The listed phone number is (678) 312-3273.

What is Peter Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Kaplan enrolled in Medicare?

Yes. Peter 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 Peter Kaplan affiliated with any hospitals?

According to CMS data, Peter Kaplan is affiliated with Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Peter Kaplan was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.