DR. ADAM MARTIN KAPLER D.O.
NPI 1942542196
Psychiatry & Neurology - Neurology in Bellevue, OH

Q: What is Adam Kapler's NPI number?

The NPI number for Adam Kapler is 1942542196. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Q: What is Adam Kapler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Adam Kapler was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment

5433 STATE ROUTE 113, BELLEVUE, OH 44811(419) 483-2403(419) 483-8418 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

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About Dr. Adam Martin Kapler D.o. NPPES

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

DR. ADAM MARTIN KAPLER D.O. (NPI 1942542196) is an individual neurology provider in Bellevue, Ohio, licensed in Ohio (012670) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942542196

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. ADAM MARTIN KAPLERCredential: D.O.

Location Address5433 STATE ROUTE 113Bellevue, OH 44811-9708

Mailing Address5433 State Route 113Bellevue, OH 44811-9708 · (419) 483-2403 · Fax (419) 483-8418

Phone(419) 483-2403

Fax(419) 483-8418

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 25, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1942542196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in OH · 012670✔ Licensed in IL · 125.062608

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

5433 STATE ROUTE 113, Bellevue, OH 44811

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Other Identifiers 1

Medicaid0223339OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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. Adam Martin Kapler D.o. 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 ID7810290640

PECOS Enrollment IDI20170615002676

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 5

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.

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.

331 services308 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.

207 services146 patients

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.

76 services64 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

57 services56 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360025

Location1111 Hayes AvenueSandusky, OH 44870 · Erie County

Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360065

Location272 Benedict AvenueNorwalk, OH 44857 · Huron County

Emergency services Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361314

Location615 Fulton StPort Clinton, OH 43452 · Ottawa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44811 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

73%337 patients3/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

54%352 patients3/55-star benchmark: 90%

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.

Other Providers at the Same Location NPPES 16

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

MELANIE M BENEDICT MOFS.ED

Counselor (Professional)