James Caplan, M.D.
NPI 1992717037 · Pulmonary Disease Physician · Beverly Hills, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Caplan, M.D. is a Pulmonary Disease Physician provider in Beverly Hills, CA (NPI 1992717037).
Provider details
- NPI number
- 1992717037
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G35694 (CA)
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
609 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 | 304 | $139 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 147 | $196 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 60 | $178 |
| X-Ray of Chest, 2 Views71046 | 34 | $27 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 32 | $27 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 260 | 126 |
| Tiotropium Bromidebrand: Spiriva Respimat | 200 | 69 |
| Montelukast Sodium | 171 | 53 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 125 | 50 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 94 | 31 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 79 | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$289 across 14 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
- 2006-08-13
- Last updated
- 2014-08-13
Frequently asked questions
- What is James Caplan's NPI number?
- James Caplan's National Provider Identifier (NPI) is 1992717037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Caplan's specialty?
- James Caplan is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is James Caplan located?
- James Caplan's practice location on file with NPPES is 250 N Robertson Blvd, Beverly Hills, CA 90211-1788.
- What is James Caplan's phone number?
- The practice phone number listed in the NPPES registry for James Caplan is (310) 385-3385.
- Does James Caplan accept Medicare?
- James Caplan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Caplan's NPI active?
- Yes — James Caplan's NPI (1992717037) is active in the NPPES registry as of the last update on 2014-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.