Irina Kaplan, MD
NPI 1942382718 · Family Medicine Physician · Waterford, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Irina Kaplan, MD is a Family Medicine Physician provider in Waterford, NY (NPI 1942382718).
Provider details
- NPI number
- 1942382718
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 214690 (NY)
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
659 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 | 430 | $65 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 146 | $47 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 47 | $61 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 36 | $100 |
Typical Medicare-allowed amounts for these services range $47–$100 (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 · 122 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 486 | 160 |
| Levothyroxine Sodium | 367 | 105 |
| Pantoprazole Sodium | 296 | 82 |
| Metoprolol Succinate | 250 | 83 |
| Lisinopril | 244 | 77 |
| Metformin Hcl | 242 | 77 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,218 across 72 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
Additional practice locations (2)
- 55 Mohawk St Ste 105Cohoes, NY 12047-2600Phone: (518) 235-7282
- 35 Lower Hudson AveGreen Island, NY 12183-1014Phone: (518) 270-9413
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Frequently asked questions
- What is Irina Kaplan's NPI number?
- Irina Kaplan's National Provider Identifier (NPI) is 1942382718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Irina Kaplan's specialty?
- Irina Kaplan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Irina Kaplan located?
- Irina Kaplan's practice location on file with NPPES is 158 Saratoga Ave, Waterford, NY 12188-2205.
- What is Irina Kaplan's phone number?
- The practice phone number listed in the NPPES registry for Irina Kaplan is (518) 233-1162.
- Does Irina Kaplan accept Medicare?
- Irina Kaplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Irina Kaplan's NPI active?
- Yes — Irina Kaplan's NPI (1942382718) is active in the NPPES registry as of the last update on 2020-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.