Active NPI 1164468492 Individual Practitioner Male Practitioner

Dr. Peter E. Kaplan , MD

Emergency Medicine • Delray Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kaplan, MD is a certified Emergency Medicine practicing in Delray Beach, FL. With approximately 39 years of clinical experience since graduating from New York Medical College in 1987, Dr. Kaplan delivers high-quality medical care to the local community at 5352 LINTON BLVD.

Dr. Kaplan is affiliated with Inphynet Contracting Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5352 Linton Blvd

Delray Beach, FL 334846514

Telephone 5614984440

Associated Practice Facility / Clinic

🏢 Imaging Consultants Of South Florida Facility NPI 1871564518

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Delray Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Delray Beach, FL (4182 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

92.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (39 Years) 39 Yrs

Delray Beach Specialty Average (21.4 Years) 21.4 Yrs

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
99285 Emergency department visit for life threatening or functioning severity	791	755	$2354.00	$180.30
99284 Emergency department visit with moderate level of medical decision making	205	200	$1577.00	$124.57
99291 Critical care, first 30-74 minutes	125	125	$2843.00	$216.15
99283 Emergency department visit with low level of medical decision making	39	39	$882.00	$73.26
99282 Emergency department visit with straightforward medical decision making	15	15	$591.00	$43.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	716	684	$2354.00	$184.88
99284 Emergency department visit with moderate level of medical decision making	205	199	$1577.00	$126.70
99291 Critical care, first 30-74 minutes	114	112	$2843.00	$221.75
99283 Emergency department visit with low level of medical decision making	29	29	$882.00	$75.90
99282 Emergency department visit with straightforward medical decision making	17	17	$591.00	$44.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	728	690	$2354.00	$191.05
99284 Emergency department visit with moderate level of medical decision making	142	134	$1577.00	$130.37
99291 Critical care, first 30-74 minutes	138	137	$2839.46	$229.49
99283 Emergency department visit with low level of medical decision making	79	78	$882.00	$78.16
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	15	15	$1554.40	$145.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	764	743	$2355.39	$195.19
99284 Emergency department visit with moderate level of medical decision making	140	132	$1577.56	$133.23
99291 Critical care, first 30-74 minutes	125	124	$2843.00	$235.46
99283 Emergency department visit with low level of medical decision making	49	48	$912.04	$78.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	812	775	$2299.66	$188.35
99284 Emergency department visit with moderate level of medical decision making	137	131	$1547.44	$129.63
99291 Critical care, first 30-74 minutes	107	106	$2778.65	$237.83
99283 Emergency department visit with low level of medical decision making	61	59	$1012.95	$70.14
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	11	11	$462.00	$51.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	977	918	$2169.93	$183.77
99284 Emergency department visit with moderate level of medical decision making	182	182	$1445.46	$124.65
99283 Emergency department visit with low level of medical decision making	99	98	$1010.28	$65.66
99291 Critical care, first 30-74 minutes	58	58	$2653.07	$234.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	883	829	$2047.10	$183.18
99284 Emergency department visit with moderate level of medical decision making	209	208	$1402.34	$124.12
99283 Emergency department visit with low level of medical decision making	112	109	$972.71	$65.55
99291 Critical care, first 30-74 minutes	50	50	$2485.02	$234.50
99281 Emergency department visit for problem that may not require health care professional	11	11	$554.09	$22.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	810	782	$1945.62	$182.86
99284 Emergency department visit with moderate level of medical decision making	283	278	$1303.94	$123.81
99283 Emergency department visit with low level of medical decision making	154	150	$915.00	$65.25
99291 Critical care, first 30-74 minutes	32	32	$2356.09	$234.66
99281 Emergency department visit for problem that may not require health care professional	20	19	$381.45	$22.35
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	17	17	$643.71	$60.07
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	13	13	$480.69	$48.02
99282 Emergency department visit with straightforward medical decision making	11	11	$578.73	$43.67

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License FL ME65581

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Inphynet Contracting Services Llc

3360 Burns Rd, Palm Beach Gardens, FL 334104323

Phone: 5616221411

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Richard Martello , MD

Radiology - Diagnostic Radiology

NPI 1063483717

Doctor of Medicine (M.D.)

Araceli Plancarte

Nurse Anesthetist, Certified Registered

NPI 1073189593

Cassidy Hoover

Speech-Language Pathologist

NPI 1093504169

Dr. Daniel Sieger , DO

Anesthesiology

NPI 1114031358

Doctor of Osteopathic Medicine (D.O.)

Dr. Ivo Baux , MD

Anesthesiology

NPI 1114937356

Doctor of Medicine (M.D.)

Janice Gualtiere , CRNA

Nurse Anesthetist, Certified Registered

NPI 1124007331

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5352 LINTON BLVD, DELRAY BEACH, FL 334846514 (Tel: 5614984440)

📍

Updated Business Mailing Address July 08, 2007

Registered at 14050 NW 14TH ST, SUITE 190, SUNRISE, FL 333232865 (Tel: 8004243672)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PETER KAPLAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #ME65581 in FL)

🟢

Initial NPI Registration & Enumeration June 22, 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: 1164468492

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14050 Nw 14th St, Suite 190

Sunrise, FL 333232865

Phone: 8004243672

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.