James Kaplan, M.D.
NPI 1225121601 · Pulmonary Disease Physician · Overland Park, KS
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Kaplan, M.D. is a Pulmonary Disease Physician provider in Overland Park, KS (NPI 1225121601).
Provider details
- NPI number
- 1225121601
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0423759 (KS)
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
19 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
1,605 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 289 | $197 |
| Critical Care, Each Additional 30 Minutes99292 | 252 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 191 | $119 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 150 | $51 |
| Test to Determine Lung Volumes Using Sensors94726 | 149 | $50 |
| Test to Measure Expiratory Airflow and Volume94010 | 146 | $25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 209 | 46 |
| Montelukast Sodium | 196 | 44 |
| Prednisone | 118 | 47 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 111 | 34 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 93 | 22 |
| Fluticasone Propionate | 75 | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$319 across 8 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
- 2006-09-30
- Last updated
- 2022-02-01
Frequently asked questions
- What is James Kaplan's NPI number?
- James Kaplan's National Provider Identifier (NPI) is 1225121601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Kaplan's specialty?
- James Kaplan is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is James Kaplan located?
- James Kaplan's practice location on file with NPPES is 10550 Quivira Rd, Overland Park, KS 66215-2306.
- What is James Kaplan's phone number?
- The practice phone number listed in the NPPES registry for James Kaplan is (913) 599-3800.
- Does James Kaplan accept Medicare?
- James Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Kaplan's NPI active?
- Yes — James Kaplan's NPI (1225121601) is active in the NPPES registry as of the last update on 2022-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.