MICHAEL J KAPLAN (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1124047196
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in CT
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Provider Addresses for MICHAEL J KAPLAN (MD)
1579, Straits Turnpike, Oronoke, Middlebury, New Haven County, Connecticut, 06762, United States
MIDDLEBURY, CT 06762
Phone: (203) 758-1272
Fax: (203) 758-1070
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $24,095.
Total Amount is formed as General ($24,095) + Research ($0) + Ownership ($0) = $24,095.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ENCORE MEDICAL, LP ($24,032).
Total Amount
$24,095
General + Research + Ownership
Payments
7
Total payment records
General Amount
$24,095
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ENCORE MEDICAL, LP | $24,032 |
| Smith+Nephew, Inc. | $63 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101130000401 | I | Sports Medicine | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,680 | 19 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,001 | 105 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 536 | 111 | $0 |
| 73560 | X-ray of knee, 1-2 views | 277 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 162 | $0 |
Insurance plans in this area (ZIP 06762)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | CT | 20610 | Aspiration and/or injection of large joint or joint capsule | 190 | 131 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CT |
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