Michael Caplan, MD
NPI 1275572562 · Internal Medicine Physician · Danville, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Caplan, MD is a Internal Medicine Physician provider in Danville, VA (NPI 1275572562).
Provider details
- NPI number
- 1275572562
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101039505 (VA)
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
726 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Tracing93005 | 171 | $6 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 154 | $60 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 143 | $46 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 130 | $46 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 56 | $47 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 185 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 1,116 | 294 |
| Atorvastatin Calcium | 1,101 | 302 |
| Losartan Potassium | 920 | 235 |
| Levothyroxine Sodium | 532 | 137 |
| Metoprolol Succinate | 489 | 142 |
| Metformin Hcl | 480 | 139 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$687 across 36 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
- 2006-06-05
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Frequently asked questions
- What is Michael Caplan's NPI number?
- Michael Caplan's National Provider Identifier (NPI) is 1275572562, 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 Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Caplan located?
- Michael Caplan's practice location on file with NPPES is 125 Executive Dr, Danville, VA 24541-4155.
- What is Michael Caplan's phone number?
- The practice phone number listed in the NPPES registry for Michael Caplan is (434) 791-1345.
- 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 (1275572562) is active in the NPPES registry as of the last update on 2023-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.