Doctor profile · Federal record
Dr. Benjamin Caplan, PA-C
Physician Assistant · Du Bois, PA
- NPI 1881260990
- Accepts Medicare
- 5 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
204 Hospital Ave
Du Bois, PA 158011442
(814) 371-2200 - Mailing address
-
2752 Drake CT
Gibsonia, PA 150448374
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- October 8, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Pennsylvania #OA005700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1881260990. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
176
Distinct HCPCS
6
Medicare allowed
$11,249
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 66 | 48 | $41 | |
99238 |
Hospital discharge day management, 30 minutes or less | 32 | 31 | $66 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 31 | $107 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | 15 | $65 | |
36556 |
Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15 | 15 | $69 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 13 | 13 | $68 |
In context: peer comparison
Among 24 peers in this city , average services per provider: 66. This provider delivers 2.7× the peer median.Open Payments
Industry payments received
All-time total
$104
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Prytime Medical Devices, Inc. | 1 | $79.62 | |
| Smith+Nephew, Inc. | 1 | $24.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
40
Patients
28
Total drug cost
$139
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 17 | 16 | $39 |
| Tramadol Hcl | Generic | 12 | 12 | $12 |
| Methocarbamol | Generic | 11 | 0 | $88 |
Hospital affiliations
Frequently asked questions
What is Dr. Benjamin Caplan's medical specialty?
Dr. Benjamin Caplan practices Physician Assistant in Du Bois, PA.
Where does Dr. Benjamin Caplan practice?
Dr. Benjamin Caplan practices at 204 Hospital Ave, Du Bois, PA 158011442. Office phone: 8143712200.
What is Dr. Benjamin Caplan's NPI?
Dr. Benjamin Caplan's National Provider Identifier (NPI) is 1881260990, issued by NPPES.
Does Dr. Benjamin Caplan accept Medicare assignment?
Yes. Dr. Benjamin Caplan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Benjamin Caplan commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Hospital discharge day management (HCPCS 99238); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.