Dr Mark Kaplan, MD - Medicare Hospitalist in Cleveland, OH

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Dr Mark Kaplan, MD is a medicare enrolled "Internal Medicine" physician in Cleveland, Ohio. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Hni Medical Services Of Ohio, Llc, Legacy Healthcare Services Inc, Community Hospitalist Llc and his current practice location is 30680 Bainbridge Rd, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 542-5025.

Dr Mark Kaplan is licensed to practice in Ohio (license number 35.095291) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942442967.

Contact Information

Dr Mark Kaplan, MD
30680 Bainbridge Rd,
Cleveland, OH 44139-2282
(440) 542-5025
(440) 542-5005

Map and Direction




Physician's Profile

Full NameDr Mark Kaplan
GenderMale
SpecialityHospitalist
Experience32 Years
Location30680 Bainbridge Rd, Cleveland, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Kaplan graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1942442967
  • Provider Enumeration Date: 04/06/2009
  • Last Update Date: 08/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3971634437
  • Enrollment ID: I20100626000488

Medical Identifiers

Medical identifiers for Dr Mark Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942442967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35.095291 (Ohio)Primary
208M00000XHospitalist 35.095291 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital
Mercy Allen HospitalOberlin, OHHospital
Mercy Regional Medical CenterLorain, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hni Medical Services Of Ohio, Llc175962073519
Legacy Healthcare Services Inc21633397223341
Community Hospitalist Llc549664812374

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Kaplan allows following entities to bill medicare on his behalf.
Entity NameNorth East Ohio Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063575462
PECOS PAC ID: 8426960618
Enrollment ID: O20031105000352
Entity NameCommunity Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538236872
PECOS PAC ID: 5496648123
Enrollment ID: O20040205000697
Entity NameHni Medical Services Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356815922
PECOS PAC ID: 1759620735
Enrollment ID: O20190308002704
Entity NameHni Emergency Services Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215576087
PECOS PAC ID: 5294162384
Enrollment ID: O20200302002455

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Kaplan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Kaplan, MD
30680 Bainbridge Rd,
Cleveland, OH 44139-2282

Ph: (440) 542-5025		Dr Mark Kaplan, MD
30680 Bainbridge Rd,
Cleveland, OH 44139-2282

Ph: (440) 542-5025

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.