Michael Kaplan, M.D.
NPI 1073925913 · Rheumatology Physician · New York, NY
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Kaplan, M.D. is a Rheumatology Physician provider in New York, NY (NPI 1073925913).
Provider details
- NPI number
- 1073925913
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 288842 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
415 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 112 | $140 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 108 | $18 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 94 | $8 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 39 | $18 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 31 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 281 | 58 |
| Prednisone | 195 | 68 |
| Leflunomide | 177 | 39 |
| Methotrexate Sodiumbrand: Methotrexate | 152 | 39 |
| Alendronate Sodium | 120 | 29 |
| Pantoprazole Sodium | 102 | 31 |
| Entecavir | 94 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,109 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 300 Community DrManhasset, NY 11030-3816Phone: (516) 562-0100
- 440 W 114th StNew York, NY 10025-1796Phone: (212) 523-8672Fax: (212) 523-4206
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2022-07-21
- Certified
- 2021-05-05
Frequently asked questions
- What is Michael Kaplan's NPI number?
- Michael Kaplan's National Provider Identifier (NPI) is 1073925913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Kaplan's specialty?
- Michael Kaplan is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Kaplan located?
- Michael Kaplan's practice location on file with NPPES is 425 W 59th St, New York, NY 10019-8022.
- What is Michael Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Michael Kaplan is (212) 523-5900.
- Does Michael Kaplan accept Medicare?
- Michael Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Kaplan's NPI active?
- Yes — Michael Kaplan's NPI (1073925913) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.