Doctor profile · Federal record
Dr. Philip Kaplan, DO
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Novi, MI
- NPI 1295734044
- Accepts Medicare
- MIPS 78.1 / 100 · 2023
- 37 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
Pulmonary & Cortical Care Specialists, PC, 39650 Orchard Hill Place, Ste 100
Novi, MI 48375
(248) 449-7010
fax (248) 449-7015 - Mailing address
-
39650 Orchard Hill Pl., Ste 100, Pulmonary & Critical Care Specialists, PC
Novi, MI 48375
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- May 15, 2009
- Year of graduation
- 1989 — 37 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Michigan #5101010587
- Medicaid
- MI #4218111
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295734044. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,141
Distinct HCPCS
10
Medicare allowed
$134,366
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 256 | 96 | $223 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 182 | 89 | $81 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 140 | 82 | $122 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 76 | 73 | $180 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 57 | 49 | $130 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 52 | 43 | $52 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 48 | 48 | $25 | |
94726 |
Test to determine lung volumes using sensors | 48 | 48 | $34 | |
94729 |
Test to examine how well the lungs exchange gases | 48 | 48 | $34 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 47 | 40 | $91 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 80. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$791
Transactions
32
Manufacturers
14
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 9 | $219.84 | |
| AstraZeneca Pharmaceuticals LP | 7 | $113.91 | |
| Boston Scientific Corporation | 1 | $77.64 | |
| Regeneron Healthcare Solutions, Inc. | 3 | $69.08 | |
| Grifols USA, LLC | 2 | $55.64 | |
| Baxter Healthcare | 1 | $46.71 | |
| United Therapeutics Corporation | 2 | $46.53 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $32.24 | |
| GENZYME CORPORATION | 1 | $31.08 | |
| Axsome Therapeutics, Inc. | 1 | $23.36 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $22.14 | |
| Amgen Inc. | 1 | $20.24 | |
| Ethicon Inc. | 1 | $19.45 | |
| Philips North America LLC | 1 | $13.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
265
Patients
62
Total drug cost
$292,927
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 84 | 32 | $68,854 |
| Oxycodone Hcl | Generic | 50 | 0 | $1,041 |
| Azithromycin | Generic | 39 | 17 | $528 |
| Ibuprofen | Generic | 35 | 0 | $186 |
| Ofev (Nintedanib Esylate) | Brand | 17 | 0 | $201,688 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 15 | 0 | $12,023 |
| Prednisone | Generic | 14 | 13 | $33 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 11 | 0 | $8,574 |
Hospital affiliations
Frequently asked questions
What is Dr. Philip Kaplan's medical specialty?
Dr. Philip Kaplan practices Pulmonary Disease Physician in Novi, MI.
Where does Dr. Philip Kaplan practice?
Dr. Philip Kaplan practices at Pulmonary & Cortical Care Specialists, PC, Novi, MI 48375. Office phone: 2484497010.
What is Dr. Philip Kaplan's NPI?
Dr. Philip Kaplan's National Provider Identifier (NPI) is 1295734044, issued by NPPES.
Does Dr. Philip Kaplan accept Medicare assignment?
Yes. Dr. Philip Kaplan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Philip Kaplan commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.