Active NPI 1376649277 Individual Practitioner Male Practitioner

Dr. Mark J Kaplan , MD

Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kaplan, MD is a certified Surgery practicing in Philadelphia, PA. With approximately 45 years of clinical experience since graduating from Temple University School Of Medicine in 1981, Dr. Kaplan delivers high-quality medical care to the local community at 5401 OLD YORK RD.

Dr. Kaplan is affiliated with Einstein Practice Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5401 Old York Rd

Philadelphia, PA 191413030

Telephone 2154564444

Fax 2156762222

Associated Practice Facility / Clinic

🏢 Einstein Practice Plan Inc Facility NPI 1801853288

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +24.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (45 Years) 45 Yrs

Philadelphia Specialty Average (20.6 Years) 20.6 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	48	34	$80.31	$52.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	24	$190.00	$124.90
99291 Critical care, first 30-74 minutes	33	13	$475.00	$224.36
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$175.00	$88.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$360.00	$183.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$130.00	$83.28
99238 Hospital discharge day management, 30 minutes or less	11	11	$130.00	$81.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	55	$127.54	$51.81
99291 Critical care, first 30-74 minutes	49	28	$489.04	$222.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	20	$205.71	$123.82
99238 Hospital discharge day management, 30 minutes or less	13	13	$134.77	$84.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$364.00	$180.44
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$205.36	$86.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	55	$154.41	$40.63
99291 Critical care, first 30-74 minutes	48	17	$561.00	$228.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	20	$278.00	$107.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$293.50	$141.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$183.00	$136.70
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$250.54	$105.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	52	$152.42	$40.59
99291 Critical care, first 30-74 minutes	26	14	$561.00	$233.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$293.83	$144.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$278.00	$109.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$172.18	$76.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	73	27	$561.00	$239.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	34	$170.40	$42.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	30	$278.00	$112.78
99292 Critical care, each additional 30 minutes	34	11	$224.00	$120.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$172.00	$78.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$376.00	$218.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$293.67	$149.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	57	$126.35	$42.03
99291 Critical care, first 30-74 minutes	35	16	$392.31	$238.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$256.26	$116.32
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$152.67	$79.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$200.86	$110.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$294.00	$146.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$138.45	$77.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	53	$110.79	$41.49
99291 Critical care, first 30-74 minutes	48	19	$315.00	$235.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	13	$158.00	$110.06
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$158.32	$77.47
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$220.50	$107.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$237.00	$115.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	49	$105.00	$41.30
99291 Critical care, first 30-74 minutes	81	26	$315.00	$234.27
99213 Established patient office or other outpatient visit, typically 15 minutes	32	21	$161.53	$77.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	20	$158.00	$109.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	17	$116.85	$46.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$235.00	$114.84
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$226.24	$102.50

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD028765E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Einstein Practice Plan Inc

5501 Old York Rd Levy 2, Philadelphia, PA 191413018

Phone: 2154566786

Einstein Practice Plan Inc

5501 Old York Rd Wcb 4th Flr, Philadelphia, PA 191413018

Phone: 2154568270

Einstein Practice Plan Inc

5501 Old York Rd, Phila, PA 191413018

Einstein Practice Plan Inc

5401 Old York Rd, Philadelphia, PA 191413045

Einstein Practice Plan Inc

9880 Bustleton Ave, Philadelphia, PA 191152185

Phone: 2154568242

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Morton Mandell , MD

Internal Medicine - Cardiovascular Disease

NPI 1003898644

Doctor of Medicine (M.D.)

Dr. Shahriar Yazdanfar , MD

Internal Medicine - Cardiovascular Disease

NPI 1013972736

Doctor of Medicine (M.D.)

Dr. Sarah Perloff , DO

Internal Medicine - Infectious Disease

NPI 1023225869

Doctor of Osteopathic Medicine (D.O.)

Charlotta Swain , CRNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1043394190

Certified Registered Nurse Practitioner

Tamia Matthews , CRNP

Internal Medicine

NPI 1043535800

Certified Registered Nurse Practitioner

Renee Wynn , CRNP

Nurse Practitioner - Women's Health

NPI 1053930958

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5401 OLD YORK RD, PHILADELPHIA, PA 191413030 (Tel: 2154564444)

📍

Updated Business Mailing Address July 08, 2007

Registered at 101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 191202421 (Tel: 2154567000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK KAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD028765E in PA)

🟢

Initial NPI Registration & Enumeration September 16, 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: 1376649277

Entity Type:

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

Enumeration Date: September 16, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 E Olney Ave, Suite 400

Philadelphia, PA 191202421

Phone: 2154567000

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.