Irina Kaplounova, M.D.
Gastroenterology Physician · Englewood, NJ
Irina Kaplounova, M.D. is a gastroenterology physician with a practice address in Englewood, New Jersey, and NPI 1548487432, issued on Apr 20, 2007. Check the license (New Jersey 25MA08235000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Irina Kaplounova
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 25MA08235000 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 420 Grand Ave, Englewood, NJ 07631
- Phone
- (201) 569-7044
- Enumerated
- Apr 20, 2007
- Record last updated
- Dec 15, 2025
- Fax
- (201) 569-1999
- Medicare enrollment
- Enrolled (PECOS I20071107000131); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 735 in New Jersey → Look up another NPI →
Also registered at 420 Grand Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- David Butler, M.D.Obstetrics & Gynecology Physician1316068448
- Christopher Englert, M.D.Obstetrics & Gynecology Physician1134240138
- Ivan Friedrich, M.D.Gastroenterology Physician1306890165
- Sandarsh Kancherla, M.D.Gastroenterology Physician1568641058
- Vincent Panella, M.D.Specialist1841242393
Verify Irina Kaplounova in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA08235000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
19% more Medicare Part D claims than the average gastroenterology physician in 2024
966 Medicare Part D claims for 326 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.
Most prescribed
- Pantoprazole Sodium288 claims
- Sod Sulf-Potass Sulf-Mag Sulf63 claims
- Gavilyte-G61 claims
- Dicyclomine Hcl41 claims
- Omeprazole34 claims
- Peg 3350-Electrolyte34 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 97.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $277.33
16 payments; by number, the most common kind was food and beverage; the largest payer was Pfizer Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Allied Digestive Health LLCEnglewood, NJ
- Medical Associates OF Englewood PCEnglewood, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Irina Kaplounova among 735 gastroenterology physician records in New Jersey
Irina Kaplounova, M.D. is one of 735 gastroenterology physician records with a practice address in New Jersey. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 56% of them.
- NPI issued2007 · 56% of these records are older, 35% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1999 · median 2000 among the 564 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in New Jersey
There are 735 gastroenterology physician records in New Jersey.
All 735 in New Jersey → Every provider in Englewood → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Samuel Bae, MDEnglewood, NJ 076311760443139
- Ivan Friedrich, M.D.Englewood, NJ 076311306890165
- Steven Gillon, D.O.Englewood, NJ 076311285668376
- Eugene HanEnglewood, NJ 076311164780797
- Sandarsh Kancherla, M.D.Englewood, NJ 076311568641058
- Noah Mahpour, MDEnglewood, NJ 076311700382223
- Kenneth Rubin, M.D.Englewood, NJ 076311851344618
- Mark Sapienza, M.D.Englewood, NJ 076311619929874
Common questions
What is Irina Kaplounova, M.D.'s NPI number?
Irina Kaplounova, M.D.'s National Provider Identifier (NPI) is 1548487432, issued on Apr 20, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Irina Kaplounova, M.D. located?
The NPPES record lists a practice address at 420 Grand Ave, Englewood, NJ, 07631. Phone: (201) 569-7044. Providers update this record themselves, so call before visiting.
How can I verify Irina Kaplounova, M.D.'s license?
NPPES lists New Jersey license number 25MA08235000, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Irina Kaplounova, M.D. prescribe under Medicare Part D?
In 2024, Irina Kaplounova, M.D. had 966 Medicare Part D claims for 326 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Irina Kaplounova, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.