Lili Kaplan, MD
NPI 1518017276 · Retina Specialist (Ophthalmology) Physician · King of Prussia, PA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lili Kaplan, MD is a Retina Specialist (Ophthalmology) Physician provider in King of Prussia, PA (NPI 1518017276).
Provider details
- NPI number
- 1518017276
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101246969 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,790 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) |
|---|---|---|
| Imaging of Retina92134 | 1,394 | $40 |
| Injection of Drug Into Eye67028 | 1,147 | $115 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 611 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 581 | $93 |
| Photography of the Retina92250 | 496 | $37 |
| Compounded Drug, Not Otherwise ClassifiedJ7999 | 355 | $100 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 38 | 22 |
| Difluprednate | 12 | — |
| Timolol Maleate | 11 | — |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$728 across 24 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
Additional practice locations (2)
- 2150 Harrisburg Pike Ste 370Lancaster, PA 17601-2644Phone: (717) 399-8790Fax: (717) 399-3279
- 124 Dekalb Pike Ste 1North Wales, PA 19454-1853Phone: (215) 699-7600Fax: (215) 699-8867
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Frequently asked questions
- What is Lili Kaplan's NPI number?
- Lili Kaplan's National Provider Identifier (NPI) is 1518017276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lili Kaplan's specialty?
- Lili Kaplan is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Lili Kaplan located?
- Lili Kaplan's practice location on file with NPPES is 1013 W 9th Ave Ste a, King of Prussia, PA 19406-1208.
- What is Lili Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Lili Kaplan is (215) 699-7600.
- Does Lili Kaplan accept Medicare?
- Lili Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lili Kaplan's NPI active?
- Yes — Lili Kaplan's NPI (1518017276) is active in the NPPES registry as of the last update on 2024-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.