Doctor profile · Federal record
Dr. Hillary Kaplan, MD
Rheumatology Physician (CMS: Rheumatology) · Nashville, TN
- NPI 1851483275
- Accepts Medicare
- MIPS 92.8 / 100 · 2023
- 33 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3601 Tvc
Nashville, TN 372320001
(615) 322-3000 - Mailing address
-
3841 Green Hills Village Dr Ste 200
Nashville, TN 372152691
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- March 23, 2022
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207RR0500X — NUCC code
- State license (1)
- Tennessee #MD31109
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1851483275. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
610
Distinct HCPCS
7
Medicare allowed
$46,575
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 301 | 168 | $118 | |
36415 |
Insertion of needle into vein for collection of blood sample | 221 | 142 | $8 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $156 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 17 | 17 | $75 | |
G0008 |
Administration of influenza virus vaccine | 17 | 17 | $10 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 16 | 12 | $167 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $83 |
In context: peer comparison
Among 19 peers in Nashville Rheumatology Physician, average services per provider: 2,153. This provider delivers 0.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,544
Patients
354
Total drug cost
$1,118,155
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 346 | 85 | $4,328 |
| Methotrexate (Methotrexate Sodium) | Brand | 260 | 60 | $8,052 |
| Hydroxychloroquine Sulfate | Generic | 179 | 52 | $10,215 |
| Leflunomide | Generic | 175 | 47 | $14,946 |
| Duloxetine Hcl | Generic | 153 | 38 | $4,244 |
| Allopurinol | Generic | 72 | 19 | $1,021 |
| Colchicine | Generic | 52 | 14 | $3,944 |
| Enbrel Sureclick (Etanercept) | Brand | 52 | 0 | $533,931 |
| Celecoxib | Generic | 50 | 14 | $1,746 |
| Folic Acid | Generic | 49 | 12 | $171 |
Hospital affiliations
Frequently asked questions
What is Dr. Hillary Kaplan's medical specialty?
Dr. Hillary Kaplan practices Rheumatology Physician in Nashville, TN.
Where does Dr. Hillary Kaplan practice?
Dr. Hillary Kaplan practices at 3601 Tvc, Nashville, TN 372320001. Office phone: 6153223000.
What is Dr. Hillary Kaplan's NPI?
Dr. Hillary Kaplan's National Provider Identifier (NPI) is 1851483275, issued by NPPES.
Does Dr. Hillary Kaplan accept Medicare assignment?
Yes. Dr. Hillary Kaplan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Hillary 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); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.