NPPES file of Aug 9, 2026

James D. Kaplan, M.D.

Pulmonary Disease Physician · Overland Park, KS

James D. Kaplan, M.D. is a pulmonary disease physician with a practice address in Overland Park, Kansas, and NPI 1225121601, issued on Sep 30, 2006. Check the license (Kansas 0423759, as entered in NPPES) on the Kansas State Board of Healing Arts; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1225121601
Name
James D. Kaplan
Credential
M.D.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
0423759 KS
Self-reported in NPPES; status is on the state search
Practice location
10550 Quivira RD, Overland Park, KS 66215
Phone
(913) 599-3800
Enumerated
Sep 30, 2006
Record last updated
Feb 1, 2022
Fax
(913) 599-3854
Medicaid IDs
100126580A KS
202687919 MO
Medicare enrollment
Enrolled (PECOS I20050617000854); accepts Medicare assignment
Medical or professional school
University Of Missouri, Kansas City, School Of Medicine, 1984
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 10550 Quivira RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Anderson, PH.D.Psychologist1831233592
  2. Daniel Balmaceda, M.D.Pulmonary Disease Physician1104919588
  3. Kelly Barikmo, M.D.Obstetrics & Gynecology Physician1699710111
  4. Emily Bauer Holthus, MDObstetrics & Gynecology Physician1912165119
  5. Enrique Chaves, M.D.Pediatric Adolescent Medicine Physician1639340870
  6. Bradley Davis, MDUrology Physician1811989585

Verify James D. Kaplan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKansas State Board of Healing Arts
    Search for license 0423759
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kansas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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36% more Medicare Part D claims than the average pulmonary disease physician in 2024

1,939 Medicare Part D claims for 234 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. 63 claims were for opioids.

  1. James Kaplan1,939
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta209 claims
  2. Montelukast Sodium196 claims
  3. Prednisone118 claims
  4. Albuterol Sulfate Hfa111 claims
  5. Breo Ellipta93 claims
  6. Fluticasone Propionate75 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 MIPS final score for 2023 (Medicare payment program): 95.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score84.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $319.14

8 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Kaplan$319.14
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Kansas Pulmonary And Sleep Specialists, LLCOverland Park, KS

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James D. Kaplan among 105 pulmonary disease physician records in Kansas

James D. Kaplan, M.D. is one of 105 pulmonary disease physician records with a practice address in Kansas. 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 2006, is newer than 5% of them.

  • NPI issued2006 · 5% of these records are older, 53% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated1984 · median 2003 among the 72 with a school on file
  • Record last updated2022 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Kansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Kansas

There are 105 pulmonary disease physician records in Kansas.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Daniel Balmaceda, M.D.Overland Park, KS 662151104919588
  2. Mala Goyal, M.D.Overland Park, KS 662151780962910
  3. John Nelson, M.D.Overland Park, KS 662151417040890
  4. James Ralstin, M.D.Shawnee, KS 662161326209081
  5. Peter Almenoff, M.D.Overland Park, KS 662131508108929
  6. Frank Ditirro, PH.D., M.D.Overland Park, KS 662131144475294
  7. Max MartinOverland Park, KS 662131215461405
  8. Sabato Sisillo, M.D.Shawnee, KS 662171578660585

Common questions

What is James D. Kaplan, M.D.'s NPI number?

James D. Kaplan, M.D.'s National Provider Identifier (NPI) is 1225121601, issued on Sep 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James D. Kaplan, M.D. located?

The NPPES record lists a practice address at 10550 Quivira RD, Overland Park, KS, 66215. Phone: (913) 599-3800. Providers update this record themselves, so call before visiting.

How can I verify James D. Kaplan, M.D.'s license?

NPPES lists Kansas license number 0423759, as entered by the provider. Search the Kansas State Board of Healing Arts at https://www.ksbha.ks.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James D. Kaplan, M.D. prescribe under Medicare Part D?

In 2024, James D. Kaplan, M.D. had 1,939 Medicare Part D claims for 234 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is James D. Kaplan, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.6 of 100. 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.