Michael Caplan, MD
NPI 1225034549 · Ophthalmology Physician · Houston, TX
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Caplan, MD is a Ophthalmology Physician provider in Houston, TX (NPI 1225034549).
Provider details
- NPI number
- 1225034549
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- H0230 (TX)
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
21 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
1,569 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) |
|---|---|---|
| Measurement of Corneal Curvature and Depth of Eye92136 | 544 | $25 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 332 | $532 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 281 | $129 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 88 | $306 |
| Imaging of Retina92134 | 83 | $37 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 74 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 1,015 | 674 |
| Ciprofloxacin Hcl | 807 | 582 |
| Ketorolac Tromethamine | 631 | 432 |
| Latanoprost | 444 | 149 |
| Bromfenac Sodium | 297 | 182 |
| Moxifloxacin Hclbrand: Moxifloxacin | 96 | 71 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 91 | 30 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$661 across 14 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
- 2005-06-22
- Last updated
- 2023-11-27
- Certified
- 2020-10-14
Frequently asked questions
- What is Michael Caplan's NPI number?
- Michael Caplan's National Provider Identifier (NPI) is 1225034549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Caplan's specialty?
- Michael Caplan is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Caplan located?
- Michael Caplan's practice location on file with NPPES is 3100 Weslayan St, Houston, TX 77027-5752.
- What is Michael Caplan's phone number?
- The practice phone number listed in the NPPES registry for Michael Caplan is (713) 526-1600.
- Does Michael Caplan accept Medicare?
- Michael Caplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Caplan's NPI active?
- Yes — Michael Caplan's NPI (1225034549) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.