Active NPI 1972724045 Individual Practitioner Male Practitioner

Dr. Randy Kaplan , MD

Emergency Medicine • Wareham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Randy Kaplan, MD is a certified Emergency Medicine practicing in Wareham, MA. With approximately 30 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 1996, Dr. Kaplan delivers high-quality medical care to the local community at 43 HIGH ST.

Dr. Kaplan is affiliated with First Physicians Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

43 High St

Wareham, MA 025712097

Telephone 5082734180

Fax 5082734185

Associated Practice Facility / Clinic

🏢 Southcoast Hospitals Group, Inc Facility NPI 1922024835

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Wareham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +0.3 yrs vs City Avg

City Avg: 29.7 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Wareham, MA (1875 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (30 Years) 30 Yrs

Wareham Specialty Average (29.7 Years) 29.7 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	623	574	$1252.00	$170.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	495	430	$44.00	$7.98
99284 Emergency department visit with moderate level of medical decision making	177	160	$839.00	$118.11
99291 Critical care, first 30-74 minutes	175	163	$1377.00	$208.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$1330.00	$170.73
99283 Emergency department visit with low level of medical decision making	13	12	$562.00	$69.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	637	594	$1252.00	$175.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	420	376	$44.00	$8.19
99284 Emergency department visit with moderate level of medical decision making	216	193	$839.00	$120.92
99291 Critical care, first 30-74 minutes	157	150	$1377.00	$213.81
99238 Hospital discharge day management, 30 minutes or less	16	14	$465.50	$81.72
99292 Critical care, each additional 30 minutes	12	12	$542.00	$107.20
99283 Emergency department visit with low level of medical decision making	12	12	$562.00	$71.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$1264.45	$163.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	550	521	$1252.00	$179.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	507	462	$44.00	$8.44
99284 Emergency department visit with moderate level of medical decision making	193	185	$839.00	$123.83
99291 Critical care, first 30-74 minutes	152	150	$1377.00	$220.89
99292 Critical care, each additional 30 minutes	128	123	$542.00	$110.92
99283 Emergency department visit with low level of medical decision making	126	119	$562.00	$73.41
99220 Hospital observation care, typically 70 minutes	20	20	$888.00	$181.80
99217 Hospital observation care on day of discharge	13	12	$298.00	$73.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	524	466	$44.00	$8.67
99285 Emergency department visit for life threatening or functioning severity	469	441	$1252.00	$185.32
99291 Critical care, first 30-74 minutes	179	172	$1373.78	$227.04
99292 Critical care, each additional 30 minutes	155	137	$540.64	$112.77
99284 Emergency department visit with moderate level of medical decision making	143	139	$839.00	$127.12
99283 Emergency department visit with low level of medical decision making	104	100	$559.30	$74.85
99217 Hospital observation care on day of discharge	16	14	$298.00	$74.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	589	524	$43.81	$8.87
99285 Emergency department visit for life threatening or functioning severity	406	381	$1238.38	$180.27
99291 Critical care, first 30-74 minutes	193	186	$1374.01	$231.57
99292 Critical care, each additional 30 minutes	146	135	$540.79	$116.64
99284 Emergency department visit with moderate level of medical decision making	112	109	$826.89	$124.17
99283 Emergency department visit with low level of medical decision making	69	68	$552.43	$67.74
99217 Hospital observation care on day of discharge	26	19	$295.81	$76.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	677	609	$43.77	$8.80
99285 Emergency department visit for life threatening or functioning severity	498	468	$1239.46	$178.74
99291 Critical care, first 30-74 minutes	184	176	$1373.45	$229.11
99284 Emergency department visit with moderate level of medical decision making	139	135	$825.77	$121.45
99292 Critical care, each additional 30 minutes	102	96	$542.00	$114.50
99283 Emergency department visit with low level of medical decision making	84	81	$549.07	$64.03
99217 Hospital observation care on day of discharge	16	12	$294.44	$75.88
99220 Hospital observation care, typically 70 minutes	13	13	$836.15	$192.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	704	632	$42.57	$8.79
99285 Emergency department visit for life threatening or functioning severity	543	508	$1233.41	$178.49
99284 Emergency department visit with moderate level of medical decision making	179	176	$804.28	$121.29
99291 Critical care, first 30-74 minutes	167	162	$1364.75	$230.55
99292 Critical care, each additional 30 minutes	92	91	$531.85	$115.65
99283 Emergency department visit with low level of medical decision making	82	79	$547.37	$63.94
99217 Hospital observation care on day of discharge	17	17	$293.94	$76.09
99220 Hospital observation care, typically 70 minutes	15	15	$745.27	$193.21
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	13	$679.69	$148.39
99282 Emergency department visit with straightforward medical decision making	11	11	$373.00	$42.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	547	496	$35.00	$8.65
99285 Emergency department visit for life threatening or functioning severity	445	424	$699.00	$174.78
99284 Emergency department visit with moderate level of medical decision making	264	251	$474.00	$119.06
99283 Emergency department visit with low level of medical decision making	138	132	$250.00	$62.82
99291 Critical care, first 30-74 minutes	80	79	$907.00	$227.37
99292 Critical care, each additional 30 minutes	56	54	$454.00	$114.03
99217 Hospital observation care on day of discharge	13	13	$298.00	$74.82
99220 Hospital observation care, typically 70 minutes	11	11	$757.00	$190.10

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 159262

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

First Physicians Corporation

363 Highland Ave, Fall River, MA 027203703

Phone: 5089737215

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Linda Jean Weidner , MD

Emergency Medicine

NPI 1154368363

Doctor of Medicine (M.D.)

Dr. Laurence Spector , MD

Emergency Medicine

NPI 1992866602

Doctor of Medicine (M.D.)

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 43 HIGH ST, WAREHAM, MA 025712097 (Tel: 5082734180)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5 WESTWOOD LN, BARRINGTON, RI 028062634 (Tel: 4012477010)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RANDY KAPLAN, M.D.

🎓

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

Emergency Medicine (License #159262 in MA)

🟢

Initial NPI Registration & Enumeration May 02, 2007

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: 1972724045

Entity Type:

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

Enumeration Date: May 02, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Westwood Ln

Barrington, RI 028062634

Phone: 4012477010

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.