What is James Caplan's specialty?

James Caplan (NPI 1992717037) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Beverly Hills, CA.

Where does James Caplan practice?

James Caplan practices in Beverly Hills, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1992717037.

How much does Medicare pay James Caplan?

James Caplan (NPI 1992717037) received approximately $67K in total Medicare Part B payments, serving 305 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1992717037

James CaplanM.D.

PRACTICECEDARS-SINAI MEDICAL FOUNDATIONSee all providers at this practice →

Pulmonary DiseaseBeverly Hills, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

410

Unique beneficiaries

—

Total services

609

Distinct HCPCS

Medicare payment

$67K

Peer benchmark

Total Medicare services vs. 901 Pulmonary Disease providers in CA — below median (cohort median 927).

PRESCRIBING · PART D · 2024

Total Rx claims

2,014

Beneficiaries

—

Total drug cost

$895K

Distinct drugs

Brand share

71.0%

Top prescribed drugs

Albuterol Sulfate260 claims

Tiotropium Bromide200 claims

Montelukast Sodium171 claims

Fluticasone/Umeclidin/Vilanter125 claims

Budesonide/Formoterol Fumarate94 claims

QUALITY · MIPS · 2024

Final MIPS score

89.1

Quality

84.8

Cost

73.2

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.60%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$289

Payment records

By payment type

Food and Beverage$289

Top paying entities

Food and Beverage$289

REFERRAL NETWORK

Where James Caplan'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). 13 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Stephen Deutsch Internal Medicine · Beverly Hills, CA	42	188
Unilab Corporation Clinical Laboratory · West Hills, CA	38	185
Raj Khandwalla Cardiology · Beverly Hills, CA	22	134
City Of Los Angeles Ambulance Service Provider · Los Angeles, CA	20	46
Alessandro Dagnolo Diagnostic Radiology · Los Angeles, CA	19	56
Elton Tourje Diagnostic Radiology · Los Angeles, CA	18	39
Katherine Haker Diagnostic Radiology · Los Angeles, CA	17	77
Jason Aaronson Diagnostic Radiology · Los Angeles, CA	17	48
STRICKE, LESLIE	14	27
Cindy Kallman Diagnostic Radiology · Los Angeles, CA	12	47
Willis Wagner Vascular Surgery · Los Angeles, CA	12	58
NPI 1174689590	11	45

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