Doctor profile · Federal record

Dr. Michael Kaplan, M.D.

Rheumatology Physician (CMS: Rheumatology) · Hospitalist Physician · New York, NY

  • NPI 1073925913
  • Accepts Medicare
  • 12 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
425 W 59Th St
New York, NY 100198022
(212) 523-5900
fax (212) 580-8582
Additional location
300 Community Dr
Manhasset, NY 110303816
(516) 562-0100
Additional location
440 W 114Th St
New York, NY 100251796
(212) 523-8672
fax (212) 523-4206
Mailing address
150 E 42Nd St Fl 9
New York, NY 100175699

Credentials & registration

NPPES · NUCC
NPI registered
May 2014 — 12 yrs on file
Profile last updated
July 21, 2022
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
207RR0500X — NUCC code
State license (1)
New York #288842

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073925913. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
314
Distinct HCPCS
7
Medicare allowed
$32,442
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 110 70 $147
36415 Insertion of needle into vein for collection of blood sample 85 60 $8
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 35 19 $90
99214 Established patient office or other outpatient visit, 30-39 minutes 31 22 $111
99204 New patient office or other outpatient visit, 45-59 minutes 22 22 $193
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 18 18 $149
99204 New patient office or other outpatient visit, 45-59 minutes 13 13 $153

In context: peer comparison

Among 52 peers in New York Rheumatology Physician, average services per provider: 266. This provider delivers 1.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$2,109
Transactions
11
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Janssen Biotech, INC. 3 $1,861.88
AstraZeneca Pharmaceuticals Lp 1 $124.97
GlaxoSmithKline, LLC. 5 $90.83
Genentech USA, INC. 1 $17.12
Pfizer INC. 1 $14.28

By nature of payment

Consulting Fee
$1,680
Food and Beverage
$397
Travel and Lodging
$32

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,757
Patients
434
Total drug cost
$93,462
Drug Type Claims Patients Total cost
Hydroxychloroquine Sulfate Generic 274 61 $10,292
Prednisone Generic 257 66 $1,429
Methotrexate (Methotrexate Sodium) Brand 195 37 $6,517
Leflunomide Generic 167 38 $13,848
Alendronate Sodium Generic 139 34 $757
Pantoprazole Sodium Generic 118 44 $957
Allopurinol Generic 112 28 $1,073
Duloxetine Hcl Generic 83 24 $957
Colchicine Generic 80 27 $4,718
Folic Acid Generic 76 15 $189

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Kaplan's medical specialty?
Dr. Michael Kaplan practices Rheumatology Physician in New York, NY.
Where does Dr. Michael Kaplan practice?
Dr. Michael Kaplan practices at 425 W 59Th St, New York, NY 100198022. Office phone: 2125235900.
What is Dr. Michael Kaplan's NPI?
Dr. Michael Kaplan's National Provider Identifier (NPI) is 1073925913, issued by NPPES.
Does Dr. Michael Kaplan accept Medicare assignment?
Yes. Dr. Michael Kaplan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Kaplan commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.