What is Charles Kaplan's specialty?

Charles Kaplan (NPI 1538261227) is a Medicare-billing provider whose primary specialty is Urology in Austell, GA.

Where does Charles Kaplan practice?

Charles Kaplan practices in Austell, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1538261227.

How much does Medicare pay Charles Kaplan?

Charles Kaplan (NPI 1538261227) received approximately $214K in total Medicare Part B payments, serving 687 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1538261227

Charles KaplanM.D.

PRACTICEGEORGIA UROLOGY PASee all providers at this practice →

UrologyAustell, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,160

Unique beneficiaries

—

Total services

2,911

Distinct HCPCS

Medicare payment

$125K

Peer benchmark

Total Medicare services vs. 280 Urology providers in GA — above median (cohort median 2,681).

PRESCRIBING · PART D · 2024

Total Rx claims

2,443

Beneficiaries

—

Total drug cost

$798K

Distinct drugs

Brand share

36.7%

Top prescribed drugs

Tamsulosin Hcl671 claims

Finasteride282 claims

Alfuzosin Hcl204 claims

Vibegron116 claims

Hydrocodone/Acetaminophen97 claims

QUALITY · MIPS · 2024

Final MIPS score

78.2

Quality

52.2

Cost

76.8

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.14%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

REFERRAL NETWORK

Where Charles 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). 37 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
COBB HOSPITAL, INC	214	940
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	180	777
NORTHSIDE HOSPITAL, INC.	78	344
Warren Oberle Urology · Austell, GA	31	120
Micah Tepper Cardiology · Austell, GA	28	96
SOLSTAS LAB PARTNERS GROUP LLC	27	138
PAULDING MEDICAL CENTER, INC.	24	83
Adam Lourie Cardiology · Austell, GA	23	83
Alfonso Rea Cardiology · Austell, GA	22	75
Stuart Resnick Diagnostic Radiology · Marietta, GA	21	46
PATEL, THAKORBHAI	21	55
Julian Isakow Cardiology · Austell, GA	20	76

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