PROVIDER PROFILE · NPI 1518968775

Seth KaplanM.D.

GastroenterologyRaleigh, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

644

Unique beneficiaries

—

Total services

951

Distinct HCPCS

Medicare payment

$50K

Peer benchmark

Total Medicare services vs. 491 Gastroenterology providers in NC — top quintile (cohort median 652).

PRESCRIBING · PART D · 2024

Total Rx claims

969

Beneficiaries

—

Total drug cost

$425K

Distinct drugs

Brand share

36.4%

Top prescribed drugs

Omeprazole210 claims

Sodium, Potassium,mag Sulfates150 claims

Ondansetron Hcl140 claims

Pantoprazole Sodium74 claims

Adalimumab33 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$15

Payment records

By payment type

Food and Beverage$15

REFERRAL NETWORK

Where Seth Kaplan's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Raleigh Nc Endoscopy Asc Llc Ambulatory Surgical Center · Raleigh, NC	32	82
REX HOSPITAL INC.	25	79
Stephanie Copeland Certified Registered Nurse Anesthetist (CRNA) · Jackson, TN	18	42
Eydie Hartwell Certified Registered Nurse Anesthetist (CRNA) · Raleigh, NC	12	24

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history