BARBI L KAPLAN-FRENKEL DO
NPI 1992796148
Radiology - Radiation Oncology in Saint Cloud, MN

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303(320) 229-4902(320) 229-5160 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barbi L Kaplan-frenkel Do NPPES

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

BARBI L KAPLAN-FRENKEL DO (NPI 1992796148) is an individual radiation oncology provider in Saint Cloud, Minnesota, licensed in Minnesota (47219) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1987).

NPPES Registry Identity

NPI1992796148
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameBARBI L KAPLAN-FRENKELCredential: DO
Location Address1900 CENTRACARE CIRSaint Cloud, MN 56303-5000
Mailing Address1900 Centracare CirSaint Cloud, MN 56303-5000 · (320) 229-4902 · Fax (320) 229-5160
Fax(320) 229-5160
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1987
Enumeration DateNovember 4, 2005
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
NPI 1992796148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in MN · 47219
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1900 CENTRACARE CIR, Saint Cloud, MN 56303

Other Identifiers 8

Other1041343Preferred One
Other1652158Araz Group/americas Ppo
Other511R1KA(PL)Bcbs
Other576R0KABcbs
OtherP00172781Rr Medicare
Other492434700Medical Assistance
Other132052U-care
Other2400141Medica Health Plans

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

Barbi L Kaplan-frenkel Do 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 ID5092617134
PECOS Enrollment IDI20150717000635
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 13

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
210 services29 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
63 services11 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
56 services19 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
56 services21 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
49 services14 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
47 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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 (Gastroenterology)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Internal Medicine
1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIR, SUITE 1325
SAINT CLOUD, MN 56303
Pharmacist
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant (Medical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Genetic Counselor, MS
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

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 Barbi Kaplan-frenkel's NPI number?

The NPI number for Barbi Kaplan-frenkel is 1992796148. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Barbi Kaplan-frenkel located?

Barbi Kaplan-frenkel practices at 1900 Centracare Cir, Saint Cloud, MN 56303. The listed phone number is (320) 229-4902.

What is Barbi Kaplan-frenkel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Barbi Kaplan-frenkel enrolled in Medicare?

Yes. Barbi Kaplan-frenkel 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 Barbi Kaplan-frenkel accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Barbi Kaplan-frenkel 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 Barbi Kaplan-frenkel affiliated with any hospitals?

According to CMS data, Barbi Kaplan-frenkel is affiliated with St Nicholas Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Barbi Kaplan-frenkel was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.