Doctor profile · Federal record
Dr. Mark Kaplan, MD
Surgery Physician (CMS: General Surgery) · Philadelphia, PA
- NPI 1376649277
- Accepts Medicare
- 45 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5401 Old York RD
Philadelphia, PA 191413030
(215) 456-4444
fax (215) 676-2222 - Mailing address
-
101 E Olney Ave, Suite 400
Philadelphia, PA 191202421
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1981 — 45 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Pennsylvania #MD028765E
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376649277. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
196
Distinct HCPCS
6
Medicare allowed
$22,864
| 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 | 83 | 55 | $52 | |
99291 |
Critical care, first 30-74 minutes | 49 | 28 | $222 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | 20 | $124 | |
99238 |
Hospital discharge day management, 30 minutes or less | 13 | 13 | $84 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $180 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 11 | 11 | $87 |
In context: peer comparison
Among 73 peers in Philadelphia Surgery Physician, average services per provider: 40. This provider delivers 4.9× the peer median.Open Payments
Industry payments received
All-time total
$5,353
Transactions
8
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 5 | $5,060.51 | |
| Boston Scientific Corporation | 2 | $155.91 | |
| Baxter Healthcare | 1 | $136.68 |
By nature of payment
Frequently asked questions
What is Dr. Mark Kaplan's medical specialty?
Dr. Mark Kaplan practices Surgery Physician in Philadelphia, PA.
Where does Dr. Mark Kaplan practice?
Dr. Mark Kaplan practices at 5401 Old York RD, Philadelphia, PA 191413030. Office phone: 2154564444.
What is Dr. Mark Kaplan's NPI?
Dr. Mark Kaplan's National Provider Identifier (NPI) is 1376649277, issued by NPPES.
Does Dr. Mark Kaplan accept Medicare assignment?
Yes. Dr. Mark Kaplan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Kaplan commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.