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DR. RANDY KAPLAN M.D.
NPI 1972724045
Emergency Medicine in Wareham, MA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
43 HIGH ST, WAREHAM, MA 02571(508) 273-4180(508) 273-4185 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Randy Kaplan M.d. NPPES

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

DR. RANDY KAPLAN M.D. (NPI 1972724045) is an individual emergency medicine provider in Wareham, Massachusetts, licensed in Massachusetts (159262) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Chicago College Of Medicine And Surgery (1996).

NPPES Registry Identity

NPI1972724045
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RANDY KAPLANCredential: M.D.
Location Address43 HIGH STWareham, MA 02571-2097
Mailing Address5 Westwood LnBarrington, RI 02806-2634 · (401) 247-7010
Phone(508) 273-4180
Fax(508) 273-4185
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1996
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972724045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 159262
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
43 HIGH ST, Wareham, MA 02571
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy Kaplan M.d. 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 ID9133026396
PECOS Enrollment IDI20031216000373
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

2

Medicare enrollment records show Randy Kaplan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Physicians Corporation
23 mi
Emergency Medicine
363 HIGHLAND AVE
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 40 clinicians in this Medicare group
NPI 1255493474 (508) 679-7041
Beth Israel Deaconess Medical Center, Inc.
45 mi
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
NPI 1548202641 (617) 667-1961

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
623 services574 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
495 services430 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
177 services160 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
175 services163 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.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02571 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
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.

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.

DR. CHARLES J KERT M.D.
Hospitalist
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-5919
JOANN KOSLOWSKY
Pharmacist
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-4250
SIRJANA DHUNGANA PARAJULI MD
Internal Medicine
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-5919
LISA M. BILLINGS NP
Nurse Practitioner (Adult Health)
43 HIGH ST, SOUTHCOAST PHYSICIAN SERVICES, INC.
WAREHAM, MA 02571
Plymouth County (508) 961-5919
JOHN D SCHEUB M.D.
Anesthesiology
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 295-0880
MRS. DEBORAH ANN HARRIS RPH
Pharmacist
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 273-4250
JUDITH A CATALAN NP
Nurse Practitioner
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-5919
LINDA JEAN WEIDNER M.D.
Emergency Medicine
43 HIGH ST, TOBEY HOSPITAL
WAREHAM, MA 02571
Plymouth County (508) 273-4180

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 Randy Kaplan's NPI number?

The NPI number for Randy Kaplan is 1972724045. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Randy Kaplan located?

Randy Kaplan practices at 43 High St, Wareham, MA 02571. The listed phone number is (508) 273-4180.

What is Randy Kaplan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Randy Kaplan enrolled in Medicare?

Yes. Randy 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.

Which organizations bill Medicare for Randy Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Kaplan reassigns Medicare benefits to 2 organizations: First Physicians Corporation (Fall River, MA) and Beth Israel Deaconess Medical Center, Inc. (Boston, MA). 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 Randy Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Randy Kaplan affiliated with any hospitals?

According to CMS data, Randy Kaplan is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Randy Kaplan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.