Seth Kaplan, M.D.
NPI 1518968775 · Gastroenterology Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seth Kaplan, M.D. is a Gastroenterology Physician provider in Raleigh, NC (NPI 1518968775).
Provider details
- NPI number
- 1518968775
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 39628 (NC)
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
951 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 421 | $63 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 110 | $91 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 80 | $81 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 68 | $219 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 63 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 210 | 76 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 150 | 147 |
| Ondansetron Hcl | 140 | 138 |
| Pantoprazole Sodium | 74 | 27 |
| Adalimumabbrand: Humira(cf) Pen | 33 | — |
| Sucralfate | 29 | — |
| Lipase/Protease/Amylasebrand: Zenpep |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 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
- 2005-08-09
- Last updated
- 2023-11-16
- Certified
- 2023-11-14
Frequently asked questions
- What is Seth Kaplan's NPI number?
- Seth Kaplan's National Provider Identifier (NPI) is 1518968775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seth Kaplan's specialty?
- Seth Kaplan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Seth Kaplan located?
- Seth Kaplan's practice location on file with NPPES is 3100 Blue Ridge Rd, Raleigh, NC 27612-8036.
- What is Seth Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Seth Kaplan is (919) 781-7500.
- Does Seth Kaplan accept Medicare?
- Seth Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Seth Kaplan's NPI active?
- Yes — Seth Kaplan's NPI (1518968775) is active in the NPPES registry as of the last update on 2023-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.