Marnie Kaplan, MD
NPI 1487856621 · Surgery Physician · Mechanicsburg, PA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marnie Kaplan, MD is a Surgery Physician provider in Mechanicsburg, PA (NPI 1487856621).
Provider details
- NPI number
- 1487856621
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME98223 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
112 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $86 |
| Partial Removal of Breast19301 | 21 | $627 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $121 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 16 | $199 |
| Imaging of Lymph Nodes During Surgery38900 | 11 | $130 |
Typical Medicare-allowed amounts for these services range $86–$627 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 21 | 19 |
| Anastrozole | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 2104 Harrisburg Pike Ste 200Lancaster, PA 17601Phone: (717) 544-3626Fax: (717) 544-3628
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Frequently asked questions
- What is Marnie Kaplan's NPI number?
- Marnie Kaplan's National Provider Identifier (NPI) is 1487856621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marnie Kaplan's specialty?
- Marnie Kaplan is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Marnie Kaplan located?
- Marnie Kaplan's practice location on file with NPPES is 880 Century Dr, Mechanicsburg, PA 17055-4375.
- What is Marnie Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Marnie Kaplan is (717) 737-4718.
- Does Marnie Kaplan accept Medicare?
- Marnie Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marnie Kaplan's NPI active?
- Yes — Marnie Kaplan's NPI (1487856621) is active in the NPPES registry as of the last update on 2023-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.