Active NPI 1841298593 Individual Practitioner Male Practitioner

Dr. Michael S Kaplan , DO

Internal Medicine • Smithtown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kaplan, DO is a certified Internal Medicine practicing in Smithtown, NY. With approximately 30 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 1996, Dr. Kaplan delivers high-quality medical care to the local community at 329 E MAIN ST.

Dr. Kaplan is affiliated with Dr Michael Kaplan Do Pc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, face-to-face behavioral counseling for obesity, new 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

329 E Main St
Box 9

Smithtown, NY 117872830

Telephone 6313662333

Fax 6313661211

Associated Practice Facility / Clinic

🏢 Dr Michael Kaplan Do Pc Facility NPI 1912086000

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Smithtown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +3.6 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

39 Specialists

Practicing in Smithtown, NY (12979 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (30 Years) 30 Yrs

Smithtown Specialty Average (26.4 Years) 26.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	1,532	360	$186.15	$103.29
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	1,443	327	$45.10	$28.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	250	$290.97	$145.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	174	174	$481.29	$190.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$634.59	$252.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,152	250	$186.15	$103.94
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	999	232	$45.10	$29.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	171	$290.97	$147.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$481.29	$192.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$634.59	$243.40
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$99.99	$17.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	777	180	$186.15	$106.89
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	773	180	$45.10	$31.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	154	$290.97	$144.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$481.29	$201.11
93000 Routine ekg using at least 12 leads including interpretation and report	36	35	$99.99	$17.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$634.59	$255.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	676	124	$186.15	$108.15
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	655	115	$45.79	$32.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	82	$290.97	$152.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$481.29	$203.64
93000 Routine ekg using at least 12 leads including interpretation and report	33	31	$99.99	$18.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	481	90	$36.17	$30.40
99213 Established patient office or other outpatient visit, typically 15 minutes	466	97	$186.15	$87.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	73	$290.97	$126.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$481.29	$196.98
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$99.99	$20.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	462	98	$186.15	$83.31
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	437	77	$30.10	$28.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	65	$290.97	$121.59
93000 Routine ekg using at least 12 leads including interpretation and report	34	29	$99.99	$19.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$342.39	$123.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$481.29	$185.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	415	97	$30.10	$27.69
99213 Established patient office or other outpatient visit, typically 15 minutes	385	95	$186.15	$79.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	57	$290.97	$117.51
93000 Routine ekg using at least 12 leads including interpretation and report	31	28	$99.99	$19.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$481.29	$181.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$342.39	$119.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	544	96	$186.15	$77.65
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	509	97	$30.10	$27.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	29	$290.97	$112.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$481.29	$178.78
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$99.99	$18.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$342.39	$106.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 208149

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

01916605 (NY)

Hospital & Practice Group Affiliations

Dr Michael Kaplan Do Pc

329 E Main St, Smithtown, NY 117872831

Phone: 6313662333

Practice Associates & Co-Workers

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

5 Associated Practitioners

Melissa Reilly , FNP

Nurse Practitioner - Family

NPI 1013426261

Family Nurse Practitioner

Colleen Cole , FNP

Nurse Practitioner - Family

NPI 1144760810

Family Nurse Practitioner

Dr. Joanne Lebow , MD

Internal Medicine - Obesity Medicine

NPI 1164454682

Doctor of Medicine (M.D.)

Katrina Romeo , PA

Physician Assistant

NPI 1497414403

Physician Assistant

Aliea Shaffie

Nurse Practitioner - Family

NPI 1831925403

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2007

Registered at 329 E MAIN ST, BOX 9, SMITHTOWN, NY 117872830 (Tel: 6313662333)

📍

Updated Business Mailing Address July 26, 2007

Registered at 329 E MAIN ST, BOX 9, SMITHTOWN, NY 117872830 (Tel: 6313662333)

👤

Provider Name / Credentials Updated July 26, 2007

Recorded as MICHAEL KAPLAN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Internal Medicine (License #208149 in NY)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1841298593

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: July 26, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

329 E Main St, Box 9

Smithtown, NY 117872830

Phone: 6313662333

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.