Matthew Kaplan, DO
NPI 1285863308 · Gastroenterology Physician · Bourbonnais, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Kaplan, DO is a Gastroenterology Physician provider in Bourbonnais, IL (NPI 1285863308).
Provider details
- NPI number
- 1285863308
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036127874 (IL)
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
16 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
1,212 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 186 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 129 | $124 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 119 | $87 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 119 | $247 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 80 | $170 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
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 |
|---|---|---|
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 176 | 170 |
| Omeprazole | 146 | 69 |
| Pantoprazole Sodium | 102 | 32 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 24 | 22 |
| Dicyclomine Hcl | 16 | — |
| Colestipol Hcl | 12 | 11 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$641 across 20 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
- 2009-07-10
- Last updated
- 2020-07-29
- Certified
- 2020-07-29
Frequently asked questions
- What is Matthew Kaplan's NPI number?
- Matthew Kaplan's National Provider Identifier (NPI) is 1285863308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Kaplan's specialty?
- Matthew Kaplan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Kaplan located?
- Matthew Kaplan's practice location on file with NPPES is 1615 N Convent St, Bourbonnais, IL 60914-1081.
- What is Matthew Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Matthew Kaplan is (815) 602-8253.
- Does Matthew Kaplan accept Medicare?
- Matthew Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Kaplan's NPI active?
- Yes — Matthew Kaplan's NPI (1285863308) is active in the NPPES registry as of the last update on 2020-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.