MARK KAPLAN (DO) – Emergency Medicine Physician, NPI 1861498461

MARK KAPLAN (DO) is a healthcare provider. based in Ellsworth, Maine. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 907 (ME). The NPI Number for MARK KAPLAN (DO) is 1861498461

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
MARK KAPLAN (DO)
NPI
1861498461
Phone
(207) 659-5546
Address
58 LAUREL ST
Enumeration Date
28 June 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077965503
Graduation Year
1972 (54 years ago)
PAC ID
3173580503
Group Practice PAC ID
3577524024
Professional Enrollment ID
I20041216000668
Address ID
ME046683344PR136XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

886 FAMILY PRACTICE in ME

Provider Addresses for MARK KAPLAN (DO)

  • 58 LAUREL ST

    ELLSWORTH, ME 046052305

    Phone: (207) 659-5546

    Fax: (207) 573-1609

    Type: Location

  • 57 Water St

    Blue Hill, ME 04614

    Phone: (207) 374-3911

    Fax: (207) 374-3986

    Type: Location

  • Blue Hill Memorial Hospital, 57, Water Street, Blue Hill, Hancock County, Maine, 04614, United States

    BLUE HILL, ME 04614

    Phone: (207) 374-3911

    Fax: (207) 374-3986

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-02-12 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($44).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041216000668IFamily PracticeMETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test1613$0
View full utilization report →

Insurance plans in this area (ZIP 04605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577524024View full group profile
NameSpecialtyState
Nurse PractitionerME
Clinical Social WorkerCT
Nuclear Medicine, General PracticeVT
Nurse PractitionerME
P S Y C H I A T R YME
Clinical Social WorkerTX
Nurse PractitionerME
Nurse PractitionerME
O P T O M E T R YME
Clinical Social WorkerME

Reviews

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Frequently asked questions

Is there an official ID for MARK KAPLAN (DO) in U.S. healthcare records?
The official identifier for MARK KAPLAN (DO) is NPI 1861498461.
Is MARK KAPLAN (DO) shown as active in public data?
Registry records indicate MARK KAPLAN (DO) maintains an active NPI.
What area of care is associated with MARK KAPLAN (DO)?
MARK KAPLAN (DO)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARK KAPLAN (DO) associated with Ellsworth?
Public fields place MARK KAPLAN (DO) around Ellsworth, Maine. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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