DR. MARK KAPLAN MD
NPI 1942442967
Internal Medicine in Cleveland, OH
About Dr. Mark Kaplan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK KAPLAN MD (NPI 1942442967) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.095291) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Mark 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Regional Medical Center
Acute Care Hospitals · Lorain, OHMercy Allen Hospital
Critical Access Hospitals · Oberlin, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44139
CLEVELAND, OH 44139
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 1942442967. It was assigned to this individual provider in the NPPES registry on April 6, 2009.
Where is Mark Kaplan located?
Mark Kaplan practices at 30680 Bainbridge Rd, Cleveland, OH 44139. The listed phone number is (440) 542-5025.
What is Mark Kaplan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
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 Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare 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 Mercy Regional Medical Center and Mercy Allen Hospital.
When was this NPI record last updated?
The NPPES record for Mark Kaplan was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
