Active NPI 1023077898 Individual Practitioner Male Practitioner

Dr. Jonathan D Kaplan , OD

Optometrist • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Kaplan, OD is a certified Optometrist practicing in Pawtucket, RI. With approximately 36 years of clinical experience since graduating from New England College Of Optometry in 1990, Dr. Kaplan delivers high-quality medical care to the local community at 2 DEXTER ST.

Dr. Kaplan is affiliated with Aeg Rhode Island Professional Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Dexter St

Pawtucket, RI 028602926

Telephone 4017239540

Fax 4017256583

Associated Practice Facility / Clinic

🏢 The Eyeglass Store Inc Facility NPI 1437290889

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +12.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Pawtucket, RI (280 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplan (36 Years) 36 Yrs

Pawtucket Specialty Average (23.3 Years) 23.3 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
66984 Removal of cataract with insertion of lens	1,570	12	$11.10	$1.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	199	$190.00	$129.31
92250 Photography of the retina	98	97	$130.00	$37.49
92014 Established patient complete exam of visual system	40	40	$165.00	$127.52
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$120.77	$91.62
92083 Exam of visual field with extended testing	18	17	$120.00	$64.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$200.00	$168.60
92133 Imaging of optic nerve	15	14	$100.00	$33.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	260	256	$137.77	$38.43
92014 Established patient complete exam of visual system	152	152	$160.33	$130.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	114	$190.09	$130.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$141.25	$92.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$202.86	$169.74
92004 New patient complete exam of visual system	16	16	$180.94	$154.19
92083 Exam of visual field with extended testing	12	11	$120.00	$64.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$106.36	$58.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,534	15	$6.38	$1.33
92250 Photography of the retina	432	416	$140.00	$39.21
92014 Established patient complete exam of visual system	299	299	$160.00	$133.39
92004 New patient complete exam of visual system	52	52	$180.00	$157.98
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$150.00	$95.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	18	$110.00	$59.53
92083 Exam of visual field with extended testing	24	21	$120.00	$66.48
92133 Imaging of optic nerve	22	18	$280.00	$35.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$190.00	$129.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$210.00	$175.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	458	452	$140.00	$41.77
92014 Established patient complete exam of visual system	249	249	$160.00	$134.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	115	$190.00	$135.35
99213 Established patient office or other outpatient visit, typically 15 minutes	57	45	$150.00	$96.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$210.00	$177.26
92083 Exam of visual field with extended testing	19	18	$120.00	$67.60
92133 Imaging of optic nerve	19	18	$280.00	$36.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$110.00	$59.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	429	425	$140.00	$47.76
92014 Established patient complete exam of visual system	354	354	$160.00	$133.42
99213 Established patient office or other outpatient visit, typically 15 minutes	74	54	$150.00	$78.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$210.00	$174.03
92133 Imaging of optic nerve	20	19	$280.00	$36.49
92083 Exam of visual field with extended testing	20	19	$120.00	$67.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$190.00	$105.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,326	26	$5.99	$1.48
92250 Photography of the retina	614	603	$140.00	$53.22
92014 Established patient complete exam of visual system	514	512	$160.00	$132.32
99213 Established patient office or other outpatient visit, typically 15 minutes	110	77	$150.09	$76.61
92004 New patient complete exam of visual system	39	39	$180.00	$155.97
92083 Exam of visual field with extended testing	20	19	$120.00	$67.91
92133 Imaging of optic nerve	19	17	$280.00	$36.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$210.00	$172.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,230	35	$5.97	$1.49
92250 Photography of the retina	706	688	$140.00	$59.39
92014 Established patient complete exam of visual system	551	547	$160.00	$130.47
99213 Established patient office or other outpatient visit, typically 15 minutes	123	79	$150.00	$75.41
92004 New patient complete exam of visual system	54	54	$180.00	$152.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$210.00	$171.09
92083 Exam of visual field with extended testing	39	33	$120.00	$65.66
92133 Imaging of optic nerve	34	27	$280.00	$36.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$190.00	$106.74
92134 Imaging of retina	15	15	$280.00	$42.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,408	30	$5.93	$1.47
92250 Photography of the retina	723	713	$140.00	$68.23
92014 Established patient complete exam of visual system	578	576	$160.00	$127.12
99213 Established patient office or other outpatient visit, typically 15 minutes	104	71	$150.00	$73.80
92004 New patient complete exam of visual system	68	68	$180.00	$154.39
92083 Exam of visual field with extended testing	30	29	$120.00	$67.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$210.00	$168.95
92133 Imaging of optic nerve	24	23	$280.00	$35.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$190.00	$110.84

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTG00494

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Aeg Rhode Island Professional Pc

2 Dexter St, Pawtucket, RI 028602996

Phone: 4017239540

Practice Associates & Co-Workers

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

4 Associated Practitioners

Kenneth Kaplan

Optometrist

NPI 1073628921

Dr. Jillian Libby , OD

Optometrist

NPI 1083463699

Doctor of Optometry

Dr. Aeneas Wright , OD

Optometrist

NPI 1144140724

Doctor of Optometry

Dr. Anne Kiernan , OD

Optometrist

NPI 1790177400

Doctor of Optometry

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 2 DEXTER ST, PAWTUCKET, RI 028602926 (Tel: 4017239540)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2 DEXTER ST, PAWTUCKET, RI 028602926 (Tel: 4017239540)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN KAPLAN, O.D.

🎓

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

Optometrist (License #ODTG00494 in RI)

🟢

Initial NPI Registration & Enumeration March 21, 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: 1023077898

Entity Type:

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

Enumeration Date: March 21, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2 Dexter St

Pawtucket, RI 028602926

Phone: 4017239540

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.