Koby Caplan, MD
NPI 1922568393 · Family Medicine Physician · Boulder, CO
Enrolled with Medicare as Practitioner - Geriatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koby Caplan, MD is a Family Medicine Physician provider in Boulder, CO (NPI 1922568393).
Provider details
- NPI number
- 1922568393
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
218 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 92 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 83 | $181 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 30 | $129 |
| Administration of Influenza Virus VaccineG0008 | 13 | $33 |
Typical Medicare-allowed amounts for these services range $16–$181 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
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 |
|---|---|---|
| Atorvastatin Calcium | 68 | 27 |
| Amlodipine Besylate | 58 | 29 |
| Apixabanbrand: Eliquis | 52 | 12 |
| Levothyroxine Sodium | 45 | 29 |
| Diclofenac Sodium | 42 | 20 |
| Fluticasone Propionate | 34 | 19 |
| Losartan Potassium |
Practice location
Mailing address
Additional practice locations (2)
- 2101 Ken Pratt Blvd Ste 104gLongmont, CO 80501-6568Phone: (303) 415-4246
- 9228 Medical Plaza DrCharleston, SC 29406-9125Phone: (843) 876-7080Fax: (843) 876-7111
Registry dates
- Enumerated
- 2019-03-22
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Frequently asked questions
- What is Koby Caplan's NPI number?
- Koby Caplan's National Provider Identifier (NPI) is 1922568393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koby Caplan's specialty?
- Koby Caplan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Koby Caplan located?
- Koby Caplan's practice location on file with NPPES is 5495 Arapahoe Ave Ste 100g, Boulder, CO 80303-1224.
- What is Koby Caplan's phone number?
- The practice phone number listed in the NPPES registry for Koby Caplan is (303) 415-4246.
- Does Koby Caplan accept Medicare?
- Koby Caplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Koby Caplan's NPI active?
- Yes — Koby Caplan's NPI (1922568393) is active in the NPPES registry as of the last update on 2024-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.