Irina Kaplounova, M.D.
NPI 1548487432 · Gastroenterology Physician · Englewood, NJ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Irina Kaplounova, M.D. is a Gastroenterology Physician provider in Englewood, NJ (NPI 1548487432).
Provider details
- NPI number
- 1548487432
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA08235000 (NJ)
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
805 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 163 | $140 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 122 | $83 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 98 | $266 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 93 | $125 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 75 | $90 |
| 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 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 288 | 95 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 63 | 60 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 61 | 58 |
| Dicyclomine Hcl | 41 | 17 |
| Omeprazole | 34 | 16 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 34 | 33 |
| Mesalamine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$277 across 16 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
- 2007-04-20
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Irina Kaplounova's NPI number?
- Irina Kaplounova's National Provider Identifier (NPI) is 1548487432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Irina Kaplounova's specialty?
- Irina Kaplounova is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Irina Kaplounova located?
- Irina Kaplounova's practice location on file with NPPES is 420 Grand Ave, Englewood, NJ 07631-4152.
- What is Irina Kaplounova's phone number?
- The practice phone number listed in the NPPES registry for Irina Kaplounova is (201) 569-7044.
- Does Irina Kaplounova accept Medicare?
- Irina Kaplounova is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Irina Kaplounova's NPI active?
- Yes — Irina Kaplounova's NPI (1548487432) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.