Active NPI 1417060013 Individual Practitioner Male Practitioner

Dr. Jeffrey Eric Caplan , MD

Surgery - Plastic and Reconstructive Surgery • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Caplan, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Melbourne, FL. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Caplan delivers high-quality medical care to the local community at 1350 HICKORY ST.

Dr. Caplan maintains professional affiliations with Mcleod Physician Associates Ii, Health First Physician Specialties Inc, Health First Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, injection into tendon or ligament. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 Hickory St

Melbourne, FL 329013224

Telephone 3214341401

Fax 3214341667

Associated Practice Facility / Clinic

🏢 Holmes Regional Medical Center, Inc. Facility NPI 1295702728

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +4.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Melbourne, FL (258 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caplan (32 Years) 32 Yrs

Melbourne Specialty Average (27.5 Years) 27.5 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$225.59	$165.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	21	$135.46	$129.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$176.90	$170.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	29	$135.69	$130.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$176.83	$175.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$134.55	$132.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$183.27	$176.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	27	$126.55	$125.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20550 Injection into tendon or ligament	50	30	$95.50	$48.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$188.79	$172.80
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$79.94	$78.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	35	$80.00	$76.70
20550 Injection into tendon or ligament	46	26	$100.00	$49.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$190.00	$171.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$300.00	$213.57
76000 Imaging guidance for procedure, 60 minutes or less	14	12	$65.00	$32.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20550 Injection into tendon or ligament	56	29	$100.00	$48.46
99213 Established patient office or other outpatient visit, typically 15 minutes	54	31	$80.00	$73.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$189.82	$167.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$300.00	$207.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$120.00	$108.16
76000 Imaging guidance for procedure, 60 minutes or less	14	12	$65.00	$38.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	22	$79.97	$70.58
20550 Injection into tendon or ligament	34	20	$100.00	$45.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$189.74	$160.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$300.00	$200.50

Medical Specialties & State Licenses

CMS Verified: 2025-12-05

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL ME93985

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

117296100 (FL)

Commercial Insurance / Payer ID Hfps

WM871 (FL)

Commercial Insurance / Payer ID Hfmg

WM799 (FL)

Hospital & Practice Group Affiliations

Health First Physician Specialties Inc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214347000

Mcleod Physician Associates Ii

401 E Cheves St, Florence, SC 295062615

Phone: 8437779360

Health First Medical Group, Llc

699 W Cocoa Beach Cswy, Cocoa Beach, FL 329313562

Health First Medical Group, Llc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214348878

Health First Medical Group, Llc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214341401

Practice Associates & Co-Workers

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

39 Associated Practitioners

Dr. Brittany Warren , MD

Surgery - Trauma Surgery

NPI 1033556634

Doctor of Medicine (M.D.)

Dr. Kurt Hensel , MD

Orthopaedic Surgery

NPI 1073514337

Doctor of Medicine (M.D.)

Jonathan Huggins , PA-C

Physician Assistant

NPI 1083688626

Physician Assistant (Certified)

Meredith Thomas , PA-C

Physician Assistant - Surgical

NPI 1093888224

Physician Assistant (Certified)

Heather Scott , APRN

Nurse Practitioner - Adult Health

NPI 1154907822

Advanced Practice Registered Nurse

Jose Chavac Rodas

Nurse Practitioner - Acute Care

NPI 1174232896

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location December 05, 2025

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214341401)

📍

Updated Business Mailing Address December 05, 2025

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3243411401)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2025

Surgery (License #ME93985 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Plastic Surgery (License #ME93985 in FL)

📍

Updated Practice Location July 05, 2023

Registered at 3990 SHERIDAN ST STE 103, HOLLYWOOD, FL 330213655 (Tel: 9549249525)

📍

Updated Business Mailing Address July 05, 2023

Registered at 3990 SHERIDAN ST STE 103, HOLLYWOOD, FL 330213655 (Tel: 9549249525)

✅

NPI Profile Active April 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 30, 2013

Registered at 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL 330211407 (Tel: 9549249525)

📍

Updated Business Mailing Address April 30, 2013

Registered at 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL 330211407 (Tel: 9549249525)

👤

Provider Name / Credentials Updated April 30, 2013

Recorded as JEFFREY CAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2013

Plastic Surgery (License #ME93985 in FL)

🟢

Initial NPI Registration & Enumeration August 16, 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: 1417060013

Entity Type:

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

Enumeration Date: August 16, 2006

Last Update: December 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 3243411401

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.