Marc Kaplan, DO
NPI 1619918836 · Family Medicine Physician · Sierra Vista, AZ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Kaplan, DO is a Family Medicine Physician provider in Sierra Vista, AZ (NPI 1619918836).
Provider details
- NPI number
- 1619918836
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1872 (AZ)
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
2,375 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 531 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 492 | $120 |
| Hemoglobin A1c Level83036 | 166 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 158 | $122 |
| Administration of Influenza Virus VaccineG0008 | 139 | $31 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 138 | $18 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 136 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 670 | 184 |
| Levothyroxine Sodium | 416 | 106 |
| Losartan Potassium | 337 | 98 |
| Amlodipine Besylate | 310 | 82 |
| Lisinopril | 306 | 85 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 274 | 55 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 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
- 2006-06-09
- Last updated
- 2007-09-27
Frequently asked questions
- What is Marc Kaplan's NPI number?
- Marc Kaplan's National Provider Identifier (NPI) is 1619918836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Kaplan's specialty?
- Marc Kaplan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Kaplan located?
- Marc Kaplan's practice location on file with NPPES is 2585 E Wilcox Dr., Sierra Vista, AZ 85635.
- What is Marc Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Marc Kaplan is (520) 459-0000.
- Does Marc Kaplan accept Medicare?
- Marc Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Kaplan's NPI active?
- Yes — Marc Kaplan's NPI (1619918836) is active in the NPPES registry as of the last update on 2007-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.