KAREN MICHELLE KAPLAN – Plastic and Reconstructive Surgery Physician, NPI 1033409081
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
245 PLASTIC AND RECONSTRUCTIVE SURGERY in NJ
Provider Addresses for KAREN MICHELLE KAPLAN
41 UNIVERSITY DR STE 300
NEWTOWN, PA 189401873
Phone: (152) 710-5522
Fax: (215) 710-5181
Type: Mailing
331 NEWMAN SPRINGS RD STE 200
RED BANK, NJ 077015691
Phone: (732) 741-0970
Fax: (732) 201-8132
Type: Mailing
1203 LANGHORNE NEWTOWN RD STE 334
LANGHORNE, PA 190471236
Phone: (215) 710-5234
Fax: (215) 710-5235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Mentor Worldwide LLC ($94).
Total Amount
$147
General + Research + Ownership
Payments
5
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $94 |
| Avita Medical Americas, Llc | $54 |
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: 2023-11-24
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 |
|---|---|---|---|---|
| I20231124000407 | I | Plastic And Reconstructive Surgery | NJ | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 129 | 32 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 51 | 11 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | 17 | $0 |
Insurance plans in this area (ZIP 18940)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| General Surgery | NJ | |
| Plastic And Reconstructive Surgery, General Surgery, Maxillofacial Surgery, Hand Surgery | NJ | |
| - | NJ | |
| Plastic And Reconstructive Surgery | GA | |
| Physician Assistant | NJ | |
| General Surgery | NJ | |
| Plastic And Reconstructive Surgery | CT | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ |
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