DR. MARK A KAPLAN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1215925052

DR. MARK A KAPLAN (M.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. MD052168L (PA). The NPI Number for DR. MARK A KAPLAN (M.D.) is 1215925052

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A KAPLAN (M.D.)
NPI
1215925052
Phone
(717) 293-3223
Address
2501 OREGON PIKE
Enumeration Date
6 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2155035642
Graduation Year
1989 (37 years ago)
PAC ID
9133311129
Group Practice PAC ID
7911819180
Professional Enrollment ID
I20101008000694
Address ID
PA191075244PH132XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

897 PATHOLOGY in PA

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Provider Addresses for DR. MARK A KAPLAN (M.D.)

  • 2501, Oregon Pike, Roseville, Manheim Township, Lancaster County, Pennsylvania, 17601, United States

    SUITE 101

    LANCASTER, PA 176014890

    Phone: (717) 293-3223

    Fax: (717) 390-2455

    Type: Mailing

  • 1, Medical Center Boulevard, Upland, Delaware County, Pennsylvania, 19013, United States

    UPLAND, PA 190133902

    Phone: (610) 447-2282

    Fax: (610) 447-2254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($125).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-15

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: 2010-10-08

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
I20101008000694IPathologyPATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity398233$0
88341Special stained specimen slides to examine tissue, each additional procedure11830$0
88342Special stained specimen slides to examine tissue, initial procedure8169$0
88307Pathology examination of tissue using a microscope, moderately high complexity7044$0
88360Microscopic genetic analysis of tumor, manual5323$0
View full utilization report →

Insurance plans in this area (ZIP 17601)

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Provider's Procedures

DR. MARK A KAPLAN (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYPA88304Pathology examination of tissue using a microscope, moderately low complexity123112
PATHOLOGYPA88307Pathology examination of tissue using a microscope, moderately high complexity6752
PATHOLOGYPA88342Tissue or cell analysis by immunologic technique125115

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: 7911819180View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK A KAPLAN (M.D.) in the U.S.?
In the U.S., DR. MARK A KAPLAN (M.D.) is identified by NPI 1215925052.
Is DR. MARK A KAPLAN (M.D.)'s NPI status active today?
Active status means DR. MARK A KAPLAN (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. MARK A KAPLAN (M.D.)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for DR. MARK A KAPLAN (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK A KAPLAN (M.D.)?
DR. MARK A KAPLAN (M.D.) is associated with Lancaster, Pennsylvania in the same public data insurers reference.
Can I export DR. MARK A KAPLAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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