Active NPI 1225034549 Individual Practitioner Male Practitioner

Dr. Michael Bernard Caplan , MD

Ophthalmology • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Caplan, MD is a certified Ophthalmology practicing in Houston, TX. With approximately 41 years of clinical experience since graduating from Baylor College Of Medicine in 1985, Dr. Caplan delivers high-quality medical care to the local community at 3100 WESLAYAN ST.

Dr. Caplan is affiliated with Berkeley Eye Institute, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens, established 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

3100 Weslayan St
Ste 400

Houston, TX 770275752

Telephone 7135261600

Fax 7136207697

Associated Practice Facility / Clinic

🏢 Caplan-Berkeley, Llp Facility NPI 1033115472

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

276 Specialists

Practicing in Houston, TX (1616 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caplan (41 Years) 41 Yrs

Houston Specialty Average (24.9 Years) 24.9 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
92136 Measurement of corneal curvature and depth of eye	544	200	$69.34	$24.80
66984 Removal of cataract with insertion of lens	332	197	$1795.00	$531.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	268	$140.00	$128.72
66821 Removal of recurring cataract in lens capsule using a laser	88	67	$523.58	$306.05
92134 Imaging of retina	83	82	$100.00	$37.45
99213 Established patient office or other outpatient visit, typically 15 minutes	74	54	$100.00	$91.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	43	$180.00	$170.05
92083 Exam of visual field with extended testing	38	35	$120.00	$63.16
92133 Imaging of optic nerve	33	33	$100.00	$36.14
66821 Removal of recurring cataract in lens capsule using a laser	31	29	$485.00	$316.21
92025 Ct scan of cornea	21	21	$69.05	$35.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	588	208	$69.06	$25.96
66984 Removal of cataract with insertion of lens	310	183	$1795.00	$550.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	239	$140.00	$131.32
99213 Established patient office or other outpatient visit, typically 15 minutes	100	85	$100.00	$92.38
66821 Removal of recurring cataract in lens capsule using a laser	73	58	$524.86	$332.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$180.00	$171.85
92134 Imaging of retina	55	54	$100.00	$39.02
92083 Exam of visual field with extended testing	49	47	$120.00	$64.37
92133 Imaging of optic nerve	39	39	$100.00	$37.47
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$536.05	$343.46
92025 Ct scan of cornea	14	14	$67.86	$36.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	602	206	$69.52	$27.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	279	$140.00	$130.86
66984 Removal of cataract with insertion of lens	314	185	$1795.00	$538.11
99213 Established patient office or other outpatient visit, typically 15 minutes	175	135	$100.00	$93.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$180.00	$172.44
92133 Imaging of optic nerve	58	57	$100.00	$37.67
92083 Exam of visual field with extended testing	57	56	$120.00	$64.51
66821 Removal of recurring cataract in lens capsule using a laser	46	32	$516.63	$323.02
92134 Imaging of retina	34	32	$100.00	$38.92
66821 Removal of recurring cataract in lens capsule using a laser	30	26	$501.17	$326.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	538	186	$68.97	$29.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	383	$142.23	$134.51
66984 Removal of cataract with insertion of lens	332	195	$1795.00	$559.54
99213 Established patient office or other outpatient visit, typically 15 minutes	129	99	$100.00	$95.57
92083 Exam of visual field with extended testing	93	89	$118.06	$65.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$180.00	$175.73
92133 Imaging of optic nerve	60	60	$100.00	$38.10
66821 Removal of recurring cataract in lens capsule using a laser	54	45	$529.91	$342.47
92134 Imaging of retina	42	41	$100.00	$40.81
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$485.00	$332.58
76514 Ultrasound scan of cornea to determine thickness	16	16	$50.00	$10.86
92025 Ct scan of cornea	16	16	$91.19	$33.64
92014 Established patient complete exam of visual system	15	15	$136.93	$132.41
92012 Established patient problem focused exam of visual system	12	12	$98.33	$94.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	495	169	$66.61	$32.70
92012 Established patient problem focused exam of visual system	304	194	$95.84	$92.13
92014 Established patient complete exam of visual system	298	277	$135.93	$130.61
66984 Removal of cataract with insertion of lens	295	168	$1795.00	$559.47
92083 Exam of visual field with extended testing	84	78	$120.00	$66.21
92004 New patient complete exam of visual system	83	83	$160.00	$155.65
66821 Removal of recurring cataract in lens capsule using a laser	68	53	$513.53	$336.36
92133 Imaging of optic nerve	64	62	$100.00	$38.40
92134 Imaging of retina	38	36	$100.00	$40.54
76514 Ultrasound scan of cornea to determine thickness	17	17	$50.00	$11.93
92025 Ct scan of cornea	15	15	$90.00	$36.37
66821 Removal of recurring cataract in lens capsule using a laser	12	12	$525.42	$343.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	667	233	$67.74	$34.50
92012 Established patient problem focused exam of visual system	465	298	$92.00	$89.60
66984 Removal of cataract with insertion of lens	425	245	$1795.00	$648.83
92014 Established patient complete exam of visual system	291	283	$132.00	$128.65
92083 Exam of visual field with extended testing	93	90	$121.29	$65.86
92004 New patient complete exam of visual system	89	89	$159.27	$153.14
66821 Removal of recurring cataract in lens capsule using a laser	71	61	$642.11	$374.68
92133 Imaging of optic nerve	64	61	$100.00	$37.87
66821 Removal of recurring cataract in lens capsule using a laser	27	25	$485.00	$314.39
92134 Imaging of retina	23	22	$100.00	$41.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	668	242	$67.33	$36.22
66984 Removal of cataract with insertion of lens	549	325	$1795.00	$638.89
92012 Established patient problem focused exam of visual system	436	292	$92.00	$88.10
92014 Established patient complete exam of visual system	336	328	$132.00	$125.89
76519 Ultrasound of eye for determination of lens power	166	57	$57.53	$34.61
92083 Exam of visual field with extended testing	107	103	$120.00	$64.91
92004 New patient complete exam of visual system	99	99	$159.34	$152.04
66821 Removal of recurring cataract in lens capsule using a laser	65	54	$589.46	$349.35
92133 Imaging of optic nerve	48	48	$100.00	$37.09
66821 Removal of recurring cataract in lens capsule using a laser	33	33	$514.39	$321.05
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$54.17	$27.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	489	269	$87.70	$44.57
92012 Established patient problem focused exam of visual system	485	337	$91.42	$85.14
66984 Removal of cataract with insertion of lens	448	287	$1795.00	$630.87
92014 Established patient complete exam of visual system	425	411	$130.32	$122.53
76519 Ultrasound of eye for determination of lens power	91	36	$57.97	$37.53
92083 Exam of visual field with extended testing	91	88	$118.68	$64.97
92004 New patient complete exam of visual system	84	84	$160.00	$150.85
66821 Removal of recurring cataract in lens capsule using a laser	71	57	$512.32	$322.12
66821 Removal of recurring cataract in lens capsule using a laser	63	56	$500.40	$315.15
92133 Imaging of optic nerve	52	52	$100.00	$37.32
76514 Ultrasound scan of cornea to determine thickness	31	31	$25.00	$14.58
92020 Examination of cornea and iris using lens device and slit lamp	20	18	$55.00	$26.99
92134 Imaging of retina	17	16	$100.00	$40.79

Medical Specialties & State Licenses

CMS Verified: 2020-10-14

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX H0230

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Glaucoma Specialist

NUCC Taxonomy Code: 207WX0009X

State License TX H0230

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

133969908 (TX)

Medicaid State Provider ID

133969909 (TX)

Hospital & Practice Group Affiliations

Berkeley Eye Institute, Pllc

3100 Weslayan St, Houston, TX 770275752

Phone: 7135261600

Practice Associates & Co-Workers

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

21 Associated Practitioners

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Dr. Karlie Bonem , OD

Optometrist

NPI 1063827988

Doctor of Optometry

Dr. Fortuna Abebe , OD

Optometrist

NPI 1073185278

Doctor of Optometry

Dr. Usha Pinninti , MD

Ophthalmology

NPI 1134323892

Doctor of Medicine (M.D.)

Dr. Khanh Ton , OD

Optometrist

NPI 1174243273

Doctor of Optometry

Career & Practice History Timeline

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

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Ophthalmology (License #H0230 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2020

Ophthalmology (License #H0230 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Ophthalmology (License #H0230 in TX)

✅

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2017

Registered at 3100 WESLAYAN ST, STE 400, HOUSTON, TX 770275752 (Tel: 7135261600)

📍

Updated Business Mailing Address April 12, 2017

Registered at 3100 WESLAYAN ST, STE 400, HOUSTON, TX 770275752 (Tel: 7135261600)

👤

Provider Name / Credentials Updated April 12, 2017

Recorded as MICHAEL CAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Ophthalmology (License #H0230 in TX)

✅

NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2012

Registered at 3100 WESLAYAN ST, STE 400, HOUSTON, TX 770275752 (Tel: 7135261600)

📍

Updated Business Mailing Address January 23, 2012

Registered at 3100 WESLAYAN ST, STE 400, HOUSTON, TX 770275752 (Tel: 7135261600)

👤

Provider Name / Credentials Updated January 23, 2012

Recorded as MICHAEL CAPLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Ophthalmology (License #H0230 in TX)

🟢

Initial NPI Registration & Enumeration June 22, 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: 1225034549

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3100 Weslayan St, Ste 400

Houston, TX 770275752

Phone: 7135261600

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.