Kristen Kaplan, PA-C
NPI 1265431225 · Family Medicine Physician · Summerfield, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristen Kaplan, PA-C is a Family Medicine Physician provider in Summerfield, NC (NPI 1265431225).
Provider details
- NPI number
- 1265431225
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 101206 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
418 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 89 | $102 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 55 | $101 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 49 | $144 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 48 | $70 |
| Administration of Influenza Virus VaccineG0008 | 34 | $30 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 146 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alprazolam | 512 | 83 |
| Amlodipine Besylate | 380 | 105 |
| Atorvastatin Calcium | 377 | 97 |
| Levothyroxine Sodium | 347 | 89 |
| Pantoprazole Sodium | 327 | 102 |
| Rosuvastatin Calcium | 304 | 91 |
| Losartan Potassium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2010-07-07
Frequently asked questions
- What is Kristen Kaplan's NPI number?
- Kristen Kaplan's National Provider Identifier (NPI) is 1265431225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristen Kaplan's specialty?
- Kristen Kaplan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kristen Kaplan located?
- Kristen Kaplan's practice location on file with NPPES is 4431 Hwy 220 N, Summerfield, NC 27358-9411.
- What is Kristen Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Kristen Kaplan is (336) 643-7711.
- Does Kristen Kaplan accept Medicare?
- Kristen Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristen Kaplan's NPI active?
- Yes — Kristen Kaplan's NPI (1265431225) is active in the NPPES registry as of the last update on 2010-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.