Steven Kaplan, M.D. P.A.
NPI 1215922034 · Gastroenterology Physician · Aventura, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Steven Kaplan, M.D. P.A. is a Gastroenterology Physician provider in Aventura, FL (NPI 1215922034).
Provider details
- NPI number
- 1215922034
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D. P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- ME0021504 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
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
1,153 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 388 | $83 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 189 | $182 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 88 | $190 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 75 | $95 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 69 | $125 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
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 |
|---|---|---|
| Pantoprazole Sodium | 90 | 35 |
| Omeprazole | 27 | — |
| Dicyclomine Hcl | 20 | — |
| Amitriptyline Hcl | 16 | — |
| Hydrocortisone | 16 | — |
| Linaclotidebrand: Linzess | 14 | — |
| Famotidine | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$42 across 2 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
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Steven Kaplan's NPI number?
- Steven Kaplan's National Provider Identifier (NPI) is 1215922034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Steven Kaplan's specialty?
- Steven Kaplan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Steven Kaplan located?
- Steven Kaplan's practice location on file with NPPES is 21097 Ne 27th Ct Ste 500, Aventura, FL 33180-1235.
- What is Steven Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Steven Kaplan is (786) 654-5440.
- Does Steven Kaplan accept Medicare?
- Steven Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Steven Kaplan's NPI active?
- Yes — Steven Kaplan's NPI (1215922034) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.