Active NPI 1457375750 Individual Practitioner Male Practitioner

Dr. Jerold Zelig Kaplan , MD

Specialist • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jerold Kaplan, MD is a registered healthcare professional specializing in Specialist in Berkeley, CA. Practice services are available at 2450 ASHBY AVE under active NPI credentials.

Frequently performed procedures and clinical services include replacement of thigh bone and hip joint with prosthesis, replacement of knee joint, both sides of knee, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2450 Ashby Ave

Berkeley, CA 947052067

Telephone 5107044064

Fax 7079620801

Associated Practice Facility / Clinic

🏢 Sutter East Bay Hospitals Facility NPI 1013906221

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Berkeley, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Berkeley, CA (6446 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$905.00	$230.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	27	26	$875.00	$231.26
27130 Replacement of thigh bone and hip joint with prosthesis	23	22	$905.00	$231.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	54	52	$905.00	$230.78
27447 Replacement of knee joint, both sides of knee	33	32	$875.00	$230.02
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	19	18	$1000.00	$107.39
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	16	13	$150.00	$93.54
99344 New patient home visit, typically 1 hour	12	12	$300.00	$201.29
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	12	12	$1390.00	$820.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	53	49	$905.00	$234.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	45	32	$1000.00	$126.94
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	37	23	$150.00	$94.84
27447 Replacement of knee joint, both sides of knee	33	33	$875.00	$234.39
15920 Removal of pressure sore and bone at tailbone	29	23	$1000.00	$381.18
15734 Creation of muscle graft to trunk	29	23	$2500.00	$1620.38
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	21	18	$500.00	$248.02
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	21	18	$1390.00	$768.40
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	18	13	$250.00	$146.53
99344 New patient home visit, typically 1 hour	15	15	$300.00	$204.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	37	32	$1000.00	$113.86
15920 Removal of pressure sore and bone at tailbone	34	25	$1000.00	$428.57
15734 Creation of muscle graft to trunk	30	25	$2500.00	$1578.29
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$905.00	$246.27
27447 Replacement of knee joint, both sides of knee	24	24	$875.00	$247.59
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	21	21	$1390.00	$813.11
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	20	20	$500.00	$254.33
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	11	11	$350.00	$251.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$946.57	$243.82
27447 Replacement of knee joint, both sides of knee	23	23	$929.94	$243.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	22	21	$640.34	$109.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$185.20	$127.39
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	17	17	$1405.71	$802.69
15734 Creation of muscle graft to trunk	12	12	$2467.66	$1579.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	38	31	$485.72	$122.31
27130 Replacement of thigh bone and hip joint with prosthesis	33	33	$899.43	$236.90
15734 Creation of muscle graft to trunk	30	21	$2452.32	$1458.68
27447 Replacement of knee joint, both sides of knee	25	23	$1023.49	$286.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$159.59	$112.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$176.39	$132.81
15934 Removal of pressure sore at sacrum with skin graft	15	13	$2460.00	$640.52
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	12	11	$1382.08	$753.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	55	54	$901.20	$239.95
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	39	30	$468.62	$136.20
27447 Replacement of knee joint, both sides of knee	34	32	$875.00	$239.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	22	$90.00	$88.65
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	28	27	$1387.70	$779.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$100.00	$98.40
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	23	22	$508.38	$250.78
15734 Creation of muscle graft to trunk	22	18	$2461.53	$1417.84
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$1583.38	$184.63

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA C37413

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00C374130 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Valerie Curtis , MD

Hospitalist

NPI 1013081629

Doctor of Medicine (M.D.)

Dr. Gerald Meyers , MD

Internal Medicine - Pulmonary Disease

NPI 1013950575

Doctor of Medicine (M.D.)

Laurel Olslund , NP

Nurse Practitioner - Adult Health

NPI 1023130622

Nurse Practitioner

Dr. Michael Sansait , DO

Internal Medicine

NPI 1023544509

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Roth , MD

Emergency Medicine

NPI 1033649579

Doctor of Medicine (M.D.)

Lan Fang Chang , RN, IBCLC

Registered Nurse - Lactation Consultant

NPI 1043986730

Registered Nurse, International Board Certified Lactation Consultant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2450 ASHBY AVE, BERKELEY, CA 947052067 (Tel: 5107044064)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2450 ASHBY AVE, BERKELEY, CA 94705 (Tel: 5107044064)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JEROLD KAPLAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #C37413 in CA)

🟢

Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457375750

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2006

Last Update: July 09, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2450 Ashby Ave

Berkeley, CA 94705

Phone: 5107044064

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.