DANIEL JAMES KAPLAN MD
NPI 1992239941
Orthopaedic Surgery in New York, NY

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
550 1ST AVE, NEW YORK, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2022, Apr 17, 2017 (2 updates tracked since 2017).

About Daniel James Kaplan Md NPPES

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

DANIEL JAMES KAPLAN MD (NPI 1992239941) is an individual orthopaedic surgery provider in New York, New York, licensed in Illinois (036.159830) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Bellevue Hospital Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992239941
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDANIEL JAMES KAPLANCredential: MD
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address215 Sullivan St Apt 6dNew York, NY 10012-1634 · (516) 238-9209
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 17, 2017
Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
NPI 1992239941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036.159830
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
550 1ST AVE, New York, NY 10016

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

Daniel James 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 ID1850630294
PECOS Enrollment IDI20230914001941
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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
314 services34 patients
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.
100 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
65 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

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 Daniel Kaplan's NPI number?

The NPI number for Daniel Kaplan is 1992239941. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Daniel Kaplan located?

Daniel Kaplan practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5506.

What is Daniel Kaplan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Daniel Kaplan enrolled in Medicare?

Yes. Daniel 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 Daniel Kaplan affiliated with any hospitals?

According to CMS data, Daniel Kaplan is affiliated with Bellevue Hospital Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Daniel Kaplan was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.