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2026 NPPES data Specialist NPI 1306809181 M.D.
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Julia Kaplun, M.D.

Specialist in Suffern, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 399 beneficiaries · Specialist avg: 1K
Generic prescribing
64%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.6/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$1.1K
68 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Julia Kaplun, M.D. reported a CMS MIPS final score of 93.6/100 - above the 83.5 national average - and filed 3,600 Medicare Part D claims in 2023.

93.6/100
MIPS score · +10 vs avg
4K
Part D claims, 2023
64%
generic prescribing
$1.1K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

CMS NPPES provider registry desk

NPI 1306809181 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1306809181
  • ENUM-LEGACY 2006
  • TAX-MEGA 70K Specialist
  • MIPS-ELITE 93.6/100
  • RX-MID 3,600
  • BOOK-MID 22,821 in New York
  • PHOTO-FINISH Harmanpreet Rakhra · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Julia Kaplun, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Julia Kaplun, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Julia Kaplun, M.D. writes more Part D claims than 85% of them and scores higher on MIPS quality than 73% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Julia Kaplun, M.D., Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 73
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Julia Kaplun, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Julia Kaplun, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/11/2006

NPI 1306809181

Primary specialty

Specialist

High-volume

69,608 US NPIs in this specialty

Medicare Part D claims

3,600 144% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

93.6/100 10.1 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in New York

How Specialist compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Specialist4.3%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Julia Kaplun, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
93.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.6%
MIPS final score (Specialist) - 93.6/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

156 ROUTE 59 STE C1
Suffern, NY 10901
(845) 357-3838

Provider Details

NPI 1306809181
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 04/11/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.6466
Final Score
Measured-score avg: 83.5
90.4737
Quality
80.1402
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Julia Kaplun, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Rockland Endocrine And Diabetes Services, P.C.
Suffern, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Julia Kaplun, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - New York NYSBPMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Julia Kaplun, M.D.. To verify Julia Kaplun, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Julia Kaplun, M.D. - brand share 32.0%
Specialist average

32% brand-name claims vs 64% generic, on 3,600 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,600
Total Claims
$1.3M
Total Drug Cost
399
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,567
Total Day Supply
285,659
Brand vs Generic
32% brand / 64% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$78K

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.21
Gender Split
71% female / 29% male
Age Distribution
<65: 20, 65-74: 190, 75-84: 156, 85+: 33

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Julia Kaplun, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
 432
Metformin Hcl
 249
Glimepiride
 198
Synthroid
Levothyroxine Sodium
160
Rosuvastatin Calcium
 149
Metformin Hcl Er
Metformin Hcl
148
Ozempic
Semaglutide
133
Atorvastatin Calcium
 109
Jardiance
Empagliflozin
106
Trulicity
Dulaglutide
92

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Specialist in NY → All providers in New York → Compare specialties →

Specialist Overview

How Julia Kaplun, M.D. fits within the Specialist landscape nationally.

69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Julia Kaplun, M.D.'s 3,600 claims are above the specialty average of 1,474.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Kaplun, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.6 here).

Harmanpreet Rakhra 93.6 IN Tuan Du 93.7 TX David Heasley 93.7 TX David Kilgore 93.7 TX

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Douglas Pope Lincoln, NE Susan Pridgen Raleigh, NC Thomas Vonrueden Saint Paul, MN Roger Cooper Newark, NJ

Nearby Specialist Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Kaplun.

One of 22,821 Specialist providers enrolled in New York, 5 are shown here.

Caroline A Borum
Oswego, NY
Kerry Aaron
Fairport, NY
Dr. Bracha Aaronson
SPECIAL EDUCATOR
Brooklyn, NY
Dr. Gayle Aaronson
SPECIALIST
New York, NY
Kerly Abad Avila
New York, NY

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Julia Kaplun, M.D.'s specialty? ▼
Julia Kaplun, M.D. specializes in Specialist and practices in Suffern, New York. Credentials: M.D..
How much does Julia Kaplun, M.D. prescribe under Medicare Part D? ▼
In 2023, Julia Kaplun, M.D. wrote 3,600 Medicare Part D claims totaling $1.3M in drug costs for 399 beneficiaries.
What is Julia Kaplun, M.D.'s Medicare quality score? ▼
Julia Kaplun, M.D. has a CMS MIPS Final Score of 93.6/100 (Quality: 90.5, Cost: 80.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Julia Kaplun, M.D. located? ▼
Julia Kaplun, M.D. is located at 156 ROUTE 59 STE C1, Suffern, NY, 10901. Phone: (845) 357-3838.
What is Julia Kaplun, M.D.'s NPI number? ▼
Julia Kaplun, M.D.'s National Provider Identifier (NPI) is 1306809181, issued on 04/11/2006.
Does Julia Kaplun, M.D. prescribe more brand-name or generic drugs? ▼
Julia Kaplun, M.D.'s prescribing is 32% brand-name and 64% generic drugs by claim count, with $1.2M in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Julia Kaplun, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Julia Kaplun, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl, Glimepiride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julia Kaplun, M.D. accept Medicare? ▼
Julia Kaplun, M.D. appears in CMS Medicare data with 3,600 Part D claims and 399 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julia Kaplun, M.D.'s credentials? ▼
Julia Kaplun, M.D.'s NPI is 1306809181 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.