2026 NPPES data Ophthalmology Physician NPI 1679658397 MD
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LAUREN KAPLAN, MD

Ophthalmology Physician in TUCSON, Arizona. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 854 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$432.36
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LAUREN KAPLAN, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 4,623 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
5K
Part D claims, 2023
52%
generic prescribing
Likely
board-certified (heuristic)

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.

LAUREN KAPLAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Board certification likely (heuristic — not verified)

LAUREN KAPLAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about LAUREN KAPLAN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/25/2006

NPI 1679658397

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

4,623 226% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Arizona

How Ophthalmology Physician compares to other specialties among Arizona providers

Arizona providers

Ophthalmology Physician share within Arizona

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Arizona

Medicare quality performance — MIPS

LAUREN KAPLAN, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

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).

LAUREN KAPLAN, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 5240 E KNIGHT DR, TUCSON, AZ, 85712, with a listed phone of (520) 795-4202. NPI 1679658397 was issued on 10/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPLAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,623 prescription claims written by this provider, covering 854 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 48% brand-name and 52% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5240 E KNIGHT DR
TUCSON, AZ 85712

Provider Details

NPI 1679658397
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 10/25/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where LAUREN KAPLAN, MD 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.

EYE ASSOCIATES LTD
TUCSON, AZ

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 LAUREN KAPLAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$432

Largest payer

Glaukos Corporation

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.

Brand vs generic prescribing mix · Above average

LAUREN KAPLAN, MD — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 4,623 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.

4,623
Total Claims
$1.3M
Total Drug Cost
854
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,016
Total Day Supply
293,792
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$1.1M
Generic Drug Cost
$178K

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
1.19
Gender Split
60% female / 40% male
Age Distribution
<65: 16, 65-74: 243, 75-84: 415, 85+: 180

Top Prescribed Drugs (Medicare Part D)

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

What LAUREN KAPLAN, MD 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
Lumigan
Bimatoprost
721
Latanoprost
614
Timolol Maleate
500
Dorzolamide Hcl
496
Rocklatan
Netarsudil Mesylat/Latanoprost
469
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
414
Travoprost
286
Brimonidine Tartrate
197
Alphagan P
Brimonidine Tartrate
156
Simbrinza
Brinzolamide/Brimonidine Tart
110

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

Ophthalmology Physician Overview

How LAUREN KAPLAN, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

LAUREN KAPLAN, MD's 4,623 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as KAPLAN.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREN KAPLAN, MD's specialty?
LAUREN KAPLAN, MD specializes in Ophthalmology Physician and practices in TUCSON, Arizona. Credentials: MD.
How much does LAUREN KAPLAN, MD prescribe under Medicare Part D?
In 2023, LAUREN KAPLAN, MD wrote 4,623 Medicare Part D claims totaling $1.3M in drug costs for 854 beneficiaries.
What is LAUREN KAPLAN, MD's Medicare quality score?
LAUREN KAPLAN, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAUREN KAPLAN, MD located?
LAUREN KAPLAN, MD is located at 5240 E KNIGHT DR, TUCSON, AZ, 85712. Phone: (520) 795-4202.
What is LAUREN KAPLAN, MD's NPI number?
LAUREN KAPLAN, MD's National Provider Identifier (NPI) is 1679658397, issued on 10/25/2006.
Does LAUREN KAPLAN, MD prescribe more brand-name or generic drugs?
LAUREN KAPLAN, MD's prescribing is 48% brand-name and 52% generic drugs by claim count, with $1.1M in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does LAUREN KAPLAN, MD prescribe most often?
Based on 2023 Medicare Part D data, LAUREN KAPLAN, MD's most frequently prescribed drugs include Lumigan, Latanoprost, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN KAPLAN, MD accept Medicare?
LAUREN KAPLAN, MD appears in CMS Medicare data with 4,623 Part D claims and 854 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN KAPLAN, MD's credentials?
LAUREN KAPLAN, MD's NPI is 1679658397 with credentials MD. 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

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