Michael Kaplan, MD
NPI 1124047196 · Sports Medicine (Orthopaedic Surgery) Physician · Middlebury, CT
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Kaplan, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider in Middlebury, CT (NPI 1124047196).
Provider details
- NPI number
- 1124047196
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 034194 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,167 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) |
|---|---|---|
| X-Ray of Knee, 1-2 Views73560 | 326 | $35 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 309 | $70 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 279 | $95 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 116 | $117 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 59 | $36 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 60 | 50 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 36 | 34 |
| Ondansetronbrand: Ondansetron Odt | 26 | 26 |
| Oxycodone Hcl | 17 | 15 |
| Celecoxib | 17 | 14 |
| Meloxicam | 14 | 12 |
| Tramadol Hcl | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$48 across 1 record (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
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2018-02-05
Frequently asked questions
- What is Michael Kaplan's NPI number?
- Michael Kaplan's National Provider Identifier (NPI) is 1124047196, 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 Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Kaplan located?
- Michael Kaplan's practice location on file with NPPES is 1579 Straits Turnpike, Middlebury, CT 06762.
- What is Michael Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Michael Kaplan is (203) 758-1272.
- 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 (1124047196) is active in the NPPES registry as of the last update on 2018-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.