Matthew Kaplan, D.O.
NPI 1558423038 · Pain Medicine Physician · Round Rock, TX
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Kaplan, D.O. is a Pain Medicine Physician provider in Round Rock, TX (NPI 1558423038).
Provider details
- NPI number
- 1558423038
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT011399 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
910 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) |
|---|---|---|
| Care Management Services for Behavioral Health Conditions, 20 Minutes Or More Clinical Staff Time Directed By Health Care Professional99484 | 359 | $53 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 305 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 102 | $122 |
| Testing for Presence of Drug, Read By Direct Observation80305 | 48 | $12 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 44 | $287 |
| 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 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 338 | 52 |
| Oxycodone Hcl | 160 | 18 |
| Tramadol Hcl | 105 | 27 |
| Tizanidine Hcl | 82 | 26 |
| Gabapentin | 73 | 12 |
| Pregabalin | 58 | 12 |
| Buprenorphine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,191 across 69 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
- 2006-12-14
- Last updated
- 2016-02-18
Frequently asked questions
- What is Matthew Kaplan's NPI number?
- Matthew Kaplan's National Provider Identifier (NPI) is 1558423038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Kaplan's specialty?
- Matthew Kaplan is listed in the NPPES registry with a primary specialty of Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Kaplan located?
- Matthew Kaplan's practice location on file with NPPES is 170 Deepwood Dr, Round Rock, TX 78681-4944.
- What is Matthew Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Matthew Kaplan is (512) 255-7246.
- Does Matthew Kaplan accept Medicare?
- Matthew Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Kaplan's NPI active?
- Yes — Matthew Kaplan's NPI (1558423038) is active in the NPPES registry as of the last update on 2016-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.