Michael S Kaplan, MD - Medicare Family Practice in Lee, MA

Michael S Kaplan, MD is a medicare enrolled "Family Medicine" physician in Lee, Massachusetts. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Health Programs Inc and his current practice location is Chp - Lee Family Practice, 11 Quarry Hill Road, Lee, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 243-0536.

Michael S Kaplan is licensed to practice in Massachusetts (license number 49794) 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 1326049073.

Contact Information

Michael S Kaplan, MD
Chp - Lee Family Practice, 11 Quarry Hill Road,
Lee, MA 01238
(413) 243-0536
(413) 243-8040

Map and Direction




Physician's Profile

Full NameMichael S Kaplan
GenderMale
SpecialityFamily Practice
Experience47 Years
LocationChp - Lee Family Practice, Lee, Massachusetts
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:
  • Michael S Kaplan attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1977
  NPI Data:
  • NPI Number: 1326049073
  • Provider Enumeration Date: 08/03/2005
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406847532
  • Enrollment ID: I20110228000603

Medical Identifiers

Medical identifiers for Michael S Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326049073NPI-NPPES
0168505MedicaidMA
110005600AMedicaidMA
B11801OtherMABCBS
049794OtherMATUFTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 49794 (Massachusetts)Primary
207QG0300XFamily Medicine - Geriatric Medicine 49794 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Berkshire Visiting Nurse AssociationPittsfield, MAHome health agency
Gentiva Health ServicesPittsfield, MAHome health agency
Amedisys Home Health CareAgawam, MAHome health agency
Berkshire Medical CenterPittsfield, MAHospital
Fairview HospitalGreat barrington, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Programs Inc579974660844

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. Michael S Kaplan allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Programs Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953009
PECOS PAC ID: 5799746608
Enrollment ID: O20041025000193

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. Michael S 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
Michael S Kaplan, MD
P.o. Box 30,
Great Barrington, MA 01230

Ph: (413) 528-9311
Michael S Kaplan, MD
Chp - Lee Family Practice, 11 Quarry Hill Road,
Lee, MA 01238

Ph: (413) 243-0536

Reviews and Comments


Family Medicine Doctors in Lee, MA

Dr. Ardis Beth Fisch, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 192 Main St, Lee, MA 01238
Phone: 413-822-2096    Fax: 413-243-1458
Melanie R Levitan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Chp - Lee Family Practice, 11 Quarry Hill Road, Lee, MA 01238
Phone: 413-243-0536    Fax: 413-243-8040
Jeremy I Stoepker, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11 Quarry Hill Road, Lee, MA 01238
Phone: 413-243-0536    Fax: 413-243-8040
Dr. Amy C Campion, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Stockbridge Rd, Lee, MA 01238
Phone: 413-243-0122    Fax: 413-243-2251
Mark Snowise, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Stockbridge Rd, Lee, MA 01238
Phone: 413-243-0122    Fax: 413-243-2251
Dr. Robert Franklin Holub, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11 Quarry Hill Road, Chp - Lee Family Practice, Lee, MA 01238
Phone: 413-243-0536    Fax: 413-243-8040

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.