What is Seth Kaplan's specialty?

Seth Kaplan (NPI 1518968775) is a Medicare-billing provider whose primary specialty is Gastroenterology in Raleigh, NC.

Where does Seth Kaplan practice?

Seth Kaplan practices in Raleigh, NC, based on the location reported in the CMS Medicare provider datasets for NPI 1518968775.

How much does Medicare pay Seth Kaplan?

Seth Kaplan (NPI 1518968775) received approximately $119K in total Medicare Part B payments, serving 254 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events