Active NPI 1942442967 Individual Practitioner Male Practitioner

Dr. Mark Kaplan , MD

Internal Medicine • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kaplan, MD is a certified Internal Medicine practicing in Cleveland, OH. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Kaplan delivers high-quality medical care to the local community at 30680 BAINBRIDGE RD.

Dr. Kaplan is affiliated with Hni Medical Services Of Ohio, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30680 Bainbridge Rd

Cleveland, OH 441392282

Telephone 4405425025

Fax 4405425005

Associated Practice Facility / Clinic

🏢 Community Hospitalists Of Florida Facility NPI 1710405451

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +14.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

917 Specialists

Practicing in Cleveland, OH (5516 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (34 Years) 34 Yrs

Cleveland Specialty Average (19.7 Years) 19.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	810	206	$221.00	$74.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	259	228	$619.00	$164.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	85	$319.00	$111.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	115	26	$279.00	$101.39
99239 Hospital discharge day management, more than 30 minutes	99	87	$327.00	$107.81
99306 Initial nursing facility visit, typically 45 minutes per day	25	24	$510.00	$171.95
99316 Nursing facility discharge management, more than 30 minutes	18	17	$322.00	$123.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	346	76	$221.00	$76.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	151	37	$279.00	$102.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	146	127	$619.00	$166.76
99239 Hospital discharge day management, more than 30 minutes	107	97	$327.00	$110.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	65	$319.00	$114.99
99306 Initial nursing facility visit, typically 45 minutes per day	33	30	$510.00	$174.98
99316 Nursing facility discharge management, more than 30 minutes	27	23	$322.00	$126.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	575	83	$221.00	$69.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	194	114	$319.00	$99.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	145	46	$279.00	$87.24
99239 Hospital discharge day management, more than 30 minutes	120	106	$327.00	$101.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	95	$619.00	$192.45
99220 Hospital observation care, typically 70 minutes	47	45	$566.00	$173.45
99316 Nursing facility discharge management, more than 30 minutes	34	32	$322.00	$99.88
99306 Initial nursing facility visit, typically 45 minutes per day	29	29	$510.00	$159.17
99497 Advance care planning, first 30 minutes	27	24	$242.00	$75.19
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	15	15	$665.00	$192.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	633	89	$221.00	$70.48
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	310	72	$279.00	$88.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	219	112	$319.00	$101.25
99239 Hospital discharge day management, more than 30 minutes	130	120	$327.00	$103.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	85	$619.00	$196.35
99497 Advance care planning, first 30 minutes	90	75	$242.00	$76.86
99316 Nursing facility discharge management, more than 30 minutes	51	51	$322.00	$102.48
99306 Initial nursing facility visit, typically 45 minutes per day	47	45	$510.00	$162.51
99220 Hospital observation care, typically 70 minutes	20	20	$566.00	$178.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	871	91	$224.40	$71.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	326	67	$280.59	$89.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	244	103	$323.36	$103.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	134	123	$628.22	$200.79
99239 Hospital discharge day management, more than 30 minutes	121	107	$330.62	$105.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	26	$214.79	$67.55
99316 Nursing facility discharge management, more than 30 minutes	62	56	$325.16	$103.93
99306 Initial nursing facility visit, typically 45 minutes per day	58	53	$515.14	$165.02
99220 Hospital observation care, typically 70 minutes	33	32	$573.24	$183.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,246	158	$238.65	$101.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	438	72	$216.81	$88.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	150	130	$478.24	$197.60
99239 Hospital discharge day management, more than 30 minutes	149	137	$265.85	$104.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	17	$227.21	$71.06
99306 Initial nursing facility visit, typically 45 minutes per day	68	59	$389.32	$162.44
99316 Nursing facility discharge management, more than 30 minutes	60	52	$242.90	$102.91
99220 Hospital observation care, typically 70 minutes	44	42	$481.14	$177.69
99217 Hospital observation care on day of discharge	17	15	$189.59	$71.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,400	292	$203.00	$101.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	556	104	$143.00	$71.32
99239 Hospital discharge day management, more than 30 minutes	265	238	$213.00	$105.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	214	181	$393.00	$197.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	11	$173.00	$89.03
99291 Critical care, first 30-74 minutes	22	18	$433.00	$219.06
99220 Hospital observation care, typically 70 minutes	18	17	$363.00	$182.71
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	17	17	$423.00	$214.24
99217 Hospital observation care on day of discharge	16	15	$143.00	$71.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,573	246	$143.00	$70.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	285	89	$133.00	$66.82
99239 Hospital discharge day management, more than 30 minutes	229	204	$213.00	$104.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	169	$393.00	$197.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	86	$203.00	$101.83
99306 Initial nursing facility visit, typically 45 minutes per day	58	53	$323.00	$159.70
99316 Nursing facility discharge management, more than 30 minutes	41	40	$203.00	$102.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	13	$173.00	$86.22
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	19	19	$423.00	$212.85
99220 Hospital observation care, typically 70 minutes	16	16	$363.00	$181.24
99217 Hospital observation care on day of discharge	16	16	$143.00	$70.82

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.095291

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License OH 35.095291

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Hni Medical Services Of Ohio, Llc

18697 Bagley Rd, Middlebrg Hts, OH 441303417

Phone: 4408168000

Practice Associates & Co-Workers

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

9 Associated Practitioners

Linda Ward , CNP

Nurse Practitioner

NPI 1104253665

Certified Nurse Practitioner

Dr. Lauren Walter , DO

Internal Medicine

NPI 1144587148

Doctor of Osteopathic Medicine (D.O.)

Olumuyiwa Sowunmi

Internal Medicine

NPI 1235454414

Dr. Aparna Reddy , MD

Internal Medicine

NPI 1255528279

Doctor of Medicine (M.D.)

Lisa Lorenz , APRN-BC

Nurse Practitioner - Acute Care

NPI 1437368297

APRNBC

Dr. Gregory Hickey , DO

Internal Medicine - Pulmonary Disease

NPI 1457391005

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2015

Registered at 30680 BAINBRIDGE RD, CLEVELAND, OH 441392282 (Tel: 4405425025)

📍

Updated Business Mailing Address August 25, 2015

Registered at 30680 BAINBRIDGE RD, CLEVELAND, OH 441392282 (Tel: 4405425025)

👤

Provider Name / Credentials Updated August 25, 2015

Recorded as MARK KAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Internal Medicine (License #35.095291 in OH)

🟢

Initial NPI Registration & Enumeration April 06, 2009

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: 1942442967

Entity Type:

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

Enumeration Date: April 06, 2009

Last Update: August 25, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

30680 Bainbridge Rd

Cleveland, OH 441392282

Phone: 4405425025

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.