Doctor profile · Federal record
Dr. James Caplan, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Beverly Hills, CA
- NPI 1992717037
- Accepts Medicare
- MIPS 84.1 / 100 · 2023
- 50 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
250 N Robertson Blvd
Beverly Hills, CA 902111788
(310) 385-3385
fax (310) 385-3229 - Mailing address
-
Po Box 512717
Los Angeles, CA 900510717
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- August 13, 2014
- Year of graduation
- 1976 — 50 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- California #G35694
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992717037. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
788
Distinct HCPCS
10
Medicare allowed
$96,190
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 323 | 203 | $140 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 135 | 77 | $194 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 86 | 86 | $183 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 75 | 59 | $27 | |
71046 |
X-ray of chest, 2 views | 39 | 37 | $28 | |
85610 |
Blood test, clotting time | 39 | 30 | $4 | |
36415 |
Insertion of needle into vein for collection of blood sample | 28 | 24 | $8 | |
96372 |
Injection of drug or substance under skin or into muscle | 20 | 19 | $16 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $241 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 14 | 13 | $16 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 158. This provider delivers 5.0× the peer median.Open Payments
Industry payments received
All-time total
$289
Transactions
14
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 5 | $120.63 | |
| Tandem Diabetes Care, Inc. | 2 | $41.07 | |
| Mannkind Corporation | 2 | $38.58 | |
| AstraZeneca Pharmaceuticals LP | 2 | $34.38 | |
| Optinose US, Inc. | 1 | $20.66 | |
| Lexicon Pharmaceuticals, Inc. | 1 | $19.97 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $14.14 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,434
Patients
541
Total drug cost
$684,065
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 227 | 105 | $7,239 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 190 | 65 | $167,754 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 190 | 60 | $207,677 |
| Montelukast Sodium | Generic | 150 | 53 | $3,235 |
| Prednisone | Generic | 104 | 50 | $719 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 101 | 49 | $57,765 |
| Fluticasone Propionate | Generic | 67 | 34 | $1,659 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 66 | 21 | $46,864 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 54 | 21 | $60,976 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 54 | 25 | $32,108 |
Hospital affiliations
Frequently asked questions
What is Dr. James Caplan's medical specialty?
Dr. James Caplan practices Pulmonary Disease Physician in Beverly Hills, CA.
Where does Dr. James Caplan practice?
Dr. James Caplan practices at 250 N Robertson Blvd, Beverly Hills, CA 902111788. Office phone: 3103853385.
What is Dr. James Caplan's NPI?
Dr. James Caplan's National Provider Identifier (NPI) is 1992717037, issued by NPPES.
Does Dr. James Caplan accept Medicare assignment?
Yes. Dr. James Caplan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Caplan commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.