Paul Kaplanis, M.D.
NPI 1497860167 · Family Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Kaplanis, M.D. is a Family Medicine Physician provider in Fort Wayne, IN (NPI 1497860167).
Provider details
- NPI number
- 1497860167
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01031926A (IN)
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
838 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 363 | $69 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 136 | $100 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 93 | $72 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 60 | $100 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 50 | $124 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 112 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 289 | 37 |
| Levothyroxine Sodium | 280 | 32 |
| Furosemide | 230 | 28 |
| Amlodipine Besylate | 226 | 31 |
| Sertraline Hcl | 204 | 24 |
| Gabapentin | 192 | 18 |
| Apixabanbrand: Eliquis |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$95 across 1 record (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
- 2006-08-20
- Last updated
- 2009-10-23
Frequently asked questions
- What is Paul Kaplanis's NPI number?
- Paul Kaplanis's National Provider Identifier (NPI) is 1497860167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Kaplanis's specialty?
- Paul Kaplanis is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Kaplanis located?
- Paul Kaplanis's practice location on file with NPPES is 6130 Trier Rd, Fort Wayne, IN 46815-5339.
- What is Paul Kaplanis's phone number?
- The practice phone number listed in the NPPES registry for Paul Kaplanis is (260) 422-2481.
- Does Paul Kaplanis accept Medicare?
- Paul Kaplanis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Kaplanis's NPI active?
- Yes — Paul Kaplanis's NPI (1497860167) is active in the NPPES registry as of the last update on 2009-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.