Active NPI 1336136399 Individual Practitioner Male Practitioner

Dr. Randy H. Caplan , DO

Internal Medicine • Wareham, MA

Professional Overview & Biography Verified Profile Summary

Dr. Randy Caplan, DO is a registered healthcare professional specializing in Internal Medicine in Wareham, MA. Practice services are available at 40 CHURCH AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include chronic care management services, first, chronic care management services, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

40 Church Avenue
Suite 103

Wareham, MA 025711138

Telephone 5082953848

Fax 5082954565

Associated Practice Facility / Clinic

🏢 New Bedford Medical Associates Pc Facility NPI 1093783417

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wareham, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.7 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Wareham, MA (7127 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.7% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	42	$131.23	$43.57
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	20	16	$118.00	$39.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	133	$286.00	$114.80
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$194.00	$78.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$143.00	$56.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	532	259	$282.61	$112.78
99213 Established patient office or other outpatient visit, typically 15 minutes	185	122	$192.66	$76.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$306.00	$120.60
G0009 Administration of pneumococcal vaccine	48	48	$103.82	$21.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	15	$67.69	$21.67
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$45.00	$17.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	32	$142.03	$56.35
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$161.79	$105.59
99495 Transitional care management services for problem of at least moderate complexity	28	26	$430.00	$172.04
G0008 Administration of influenza virus vaccine	27	27	$101.31	$21.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$450.00	$172.30
90662 Influenza vaccine split virus, preservative free	24	24	$64.00	$52.30
90670 Pneumococcal vaccine for injection into muscle	15	15	$289.00	$197.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	651	284	$271.68	$110.20
99213 Established patient office or other outpatient visit, typically 15 minutes	280	154	$183.87	$75.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$293.48	$119.76
G0008 Administration of influenza virus vaccine	87	87	$72.52	$26.66
90662 Influenza vaccine split virus, preservative free	80	80	$59.25	$48.05
85610 Blood test, clotting time	78	11	$11.77	$5.28
G0009 Administration of pneumococcal vaccine	71	71	$81.29	$26.61
93000 Routine ekg using at least 12 leads including interpretation and report	62	62	$43.55	$17.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$436.62	$176.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	30	$140.70	$55.73
90670 Pneumococcal vaccine for injection into muscle	36	36	$289.00	$186.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$123.29	$96.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$362.52	$149.21
99495 Transitional care management services for problem of at least moderate complexity	22	16	$326.36	$169.08

Medical Specialties & State Licenses

CMS Verified: 2020-04-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 75746

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110051108A (MA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2016

Registered at 40 CHURCH AVENUE, SUITE 103, WAREHAM, MA 025711138 (Tel: 5082953848)

📍

Updated Business Mailing Address January 20, 2016

Registered at 200 MILL RD, STE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

👤

Provider Name / Credentials Updated January 20, 2016

Recorded as RANDY CAPLAN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2016

Internal Medicine (License #75746 in MA)

🟢

Initial NPI Registration & Enumeration October 04, 2005

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: 1336136399

Entity Type:

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

Enumeration Date: October 04, 2005

Last Update: April 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Mill Rd, Ste 180

Fairhaven, MA 027195252

Phone: 5089732000

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.