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Active NPI 1881260990 Individual Practitioner Male Practitioner

Benjamin Michael Caplan , PA-C

Physician Assistant • Du Bois, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Caplan, PA-C is a certified Physician Assistant practicing in Du Bois, PA. With approximately 5 years of clinical experience since completing medical education in 2021, Benjamin Caplan delivers high-quality medical care to the local community at 204 HOSPITAL AVE.

Benjamin Caplan is affiliated with Dubois Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

204 Hospital Ave

Du Bois, PA 158011442

Telephone 8143712200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Du Bois, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.7 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
68 Specialists

Practicing in Du Bois, PA (8068 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caplan (5 Years) 5 Yrs
Du Bois Specialty Average (10.7 Years) 10.7 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes
73 60 $75.00 $39.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
44 43 $335.00 $105.12
99238 Hospital discharge day management, 30 minutes or less
39 39 $188.00 $65.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
37 27 $120.00 $63.46
99221 Initial hospital inpatient care per day, typically 30 minutes
15 15 $248.00 $66.72

Medical Specialties & State Licenses

CMS Verified: 2021-09-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA OA005700

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Dubois Regional Medical Center

271 Railroad St, Philipsburg, PA 168662300

Phone: 8143429186

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brandy Hetrick , NP

Nurse Practitioner - Gerontology

NPI 1033887278

Nurse Practitioner

Chun-Yu Lee

Family Medicine

NPI 1043736341
Brady Skiles , PA-C

Physician Assistant

NPI 1043862071

Physician Assistant (Certified)

Sierra Mckee

Nurse Practitioner

NPI 1053186346
Joseph Brun , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083245286

Certified Registered Nurse Anesthetist

Joshua Lovenduski

Nurse Anesthetist, Certified Registered

NPI 1093384059

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2021

Physician Assistant (License #OA005700 in PA)

NPI Profile Active June 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2021

Registered at 204 HOSPITAL AVE, DU BOIS, PA 158011442 (Tel: 8143712200)

📍
Updated Business Mailing Address June 07, 2021

Registered at 2752 DRAKE CT, GIBSONIA, PA 150448374 (Tel: 4128493321)

👤
Provider Name / Credentials Updated June 07, 2021

Recorded as BENJAMIN CAPLAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 29, 2021

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: 1881260990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2021
Last Update: October 08, 2021
Sole Proprietor: Yes

Mailing Address

2752 Drake Ct

Gibsonia, PA 150448374

Phone: 4128493321

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.