Active NPI 1962596015 Individual Practitioner Male Practitioner

Dr. Gary Peter Kaplan , MD

Emergency Medicine • Clark, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Kaplan, MD is a certified Emergency Medicine practicing in Clark, NJ. With approximately 37 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1989, Dr. Kaplan delivers high-quality medical care to the local community at 1255 RARITAN RD.

Dr. Kaplan is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1255 Raritan Rd

Clark, NJ 070661200

Telephone 8482060072

Fax 8482060078

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1487375481

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Clark, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.3 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Clark, NJ (1807 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (37 Years) 37 Yrs

Clark Specialty Average (30.7 Years) 30.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	143	137	$205.34	$96.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$300.87	$119.61
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	31	31	$150.00	$68.88
81003 Automated urinalysis test	25	25	$8.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$30.00	$16.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	21	$100.00	$34.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$123.00	$61.20
71046 X-ray of chest, 2 views	14	14	$110.00	$27.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$300.00	$136.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	196	$185.15	$96.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$273.36	$122.09
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	68	67	$100.00	$34.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	41	$98.43	$61.25
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$27.94	$16.22
81002 Urinalysis, manual test	26	26	$18.23	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$28.81	$16.20
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$146.19	$78.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$300.00	$138.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$458.00	$180.19
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	11	11	$150.00	$37.90
87088 Bacterial urine culture	11	11	$34.00	$7.93
87086 Bacterial colony count, urine	11	11	$33.00	$7.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	216	$139.00	$98.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$204.52	$121.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	65	$87.18	$61.85
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	67	64	$100.00	$42.12
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$143.00	$79.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$204.00	$139.64
81002 Urinalysis, manual test	41	38	$25.00	$3.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$25.00	$16.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$310.00	$181.13
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$25.00	$16.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	261	261	$205.00	$122.76
99213 Established patient office or other outpatient visit, typically 15 minutes	234	193	$139.00	$100.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$204.00	$142.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$310.00	$183.23
81002 Urinalysis, manual test	35	35	$25.00	$3.48
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	27	$105.50	$45.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$84.00	$62.33
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$143.00	$80.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	323	323	$143.07	$83.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$204.31	$117.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	91	$84.00	$50.27
99213 Established patient office or other outpatient visit, typically 15 minutes	89	81	$139.00	$81.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$204.00	$118.27
81002 Urinalysis, manual test	23	23	$25.00	$3.45
36415 Insertion of needle into vein for collection of blood sample	13	13	$10.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	116	116	$143.00	$82.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	62	$204.00	$116.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$205.00	$116.10
99213 Established patient office or other outpatient visit, typically 15 minutes	55	54	$138.65	$79.72
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$25.00	$16.22
81002 Urinalysis, manual test	24	23	$25.00	$3.41
71046 X-ray of chest, 2 views	13	13	$80.00	$34.69
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$25.00	$16.20
69209 Removal of impacted ear wax by washing	11	11	$25.00	$20.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	100	100	$143.01	$78.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$203.57	$112.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$204.00	$111.92
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$139.00	$76.02
81002 Urinalysis, manual test	22	22	$25.00	$3.41
71046 X-ray of chest, 2 views	12	12	$80.00	$32.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$210.00	$112.18
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$143.00	$77.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$208.00	$107.61

Medical Specialties & State Licenses

CMS Verified: 2023-04-14

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NJ 25MA07160000

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0089141 (NJ)

Commercial Insurance / Payer ID Railroad Medicare

P00769965 (NJ)

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Secondary Practice Locations

315 W Main St

Freehold, NJ 077282517

Phone: 7324146850

Practice Associates & Co-Workers

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

5 Associated Practitioners

Grace De La Cruz , PA-C

Physician Assistant

NPI 1053759738

Physician Assistant (Certified)

Dr. Abel Cherian , MD

Emergency Medicine

NPI 1184651655

Doctor of Medicine (M.D.)

Lucy Tasharofi , PA

Physician Assistant - Medical

NPI 1205087202

Physician Assistant

Dr. Miriam Anannab , MD

Emergency Medicine

NPI 1558439877

Doctor of Medicine (M.D.)

Melissa Petronella , PA-C

Physician Assistant

NPI 1619108172

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location April 14, 2023

Registered at 1255 RARITAN RD, CLARK, NJ 070661200 (Tel: 8482060072)

📍

Updated Business Mailing Address April 14, 2023

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

✅

NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2017

Registered at 315 W MAIN ST, FREEHOLD, NJ 077282517 (Tel: 7324146850)

📍

Updated Business Mailing Address October 11, 2017

Registered at 315 W MAIN ST, FREEHOLD, NJ 077282517 (Tel: 7324146850)

👤

Provider Name / Credentials Updated October 11, 2017

Recorded as GARY KAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Emergency Medicine (License #25MA07160000 in NJ)

✅

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2015

Registered at 2222 ROUTE 33, SUITE #250, HAMILTON, NJ 086901752 (Tel: 6098904100)

📍

Updated Business Mailing Address February 05, 2015

Registered at 2222 ROUTE 33, SUITE #250, HAMILTON, NJ 086901752 (Tel: 6098904100)

👤

Provider Name / Credentials Updated February 05, 2015

Recorded as GARY KAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Emergency Medicine (License #25MA07160000 in NJ)

🟢

Initial NPI Registration & Enumeration October 03, 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: 1962596015

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: April 14, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082734300

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.