NPI registry status
Active
2026 NPPES data Diagnostic Radiology Physician NPI 1093056673 M.D.
Verify on CMS → Lawrence Caplan, M.D.
Diagnostic Radiology Physician in New York, 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 39,474 in Diagnostic Radiology Physician, 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
36
Medicare Part D claims · Diagnostic Radiology Physician avg: 63
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Lawrence Caplan, M.D. filed 36 Medicare Part D claims in 2023 as a Diagnostic Radiology Physician in New York, New York, prescribing 67% generic.
- 36
- Part D claims, 2023
- 67%
- generic prescribing
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.
Lawrence Caplan, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
36 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Lawrence Caplan, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Lawrence Caplan, M.D.?
Quality data not reportedPrimary specialty
Diagnostic Radiology Physician
Medicare Part D claims
36 43% vs specialty avg
Specialty distribution in New York
How Diagnostic Radiology Physician compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Diagnostic Radiology Physician. Verify directly:
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).
Lawrence Caplan, M.D. appears in the CMS NPPES registry as a Diagnostic Radiology Physician provider holding M.D. credentials at 10 W. 66TH ST., New York, NY, 10023, with a listed phone of (212) 787-6018. NPI 1093056673 was issued on 03/07/2013.
Medicare Part D records for calendar year 2023 show 36 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $10K in drug spend, split 33% brand-name and 67% generic by claim count.
Diagnostic Radiology Physician is a mid-sized specialty nationwide, with 39,474 enrolled providers across 56 states and an average of 63 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
Provider Details
| NPI | 1093056673 |
|---|---|
| Specialty | Diagnostic Radiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/07/2013 |
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 Lawrence Caplan, M.D.. To verify Lawrence Caplan, 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
Lawrence Caplan, M.D. - brand share 33.0%
Diagnostic Radiology Physician average
33% brand-name claims vs 67% generic, on 36 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.
36
Total Claims
$10K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 82
- Total Day Supply
- 2,460
- Brand vs Generic
- 33% brand / 67% generic
- Brand Drug Cost
- $7K
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 87.0 years
- Avg HCC Risk Score
- 0.99
Diagnostic Radiology Physician Overview
How Lawrence Caplan, M.D. fits within the Diagnostic Radiology Physician landscape nationally.
39,474
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
63
Avg Claims per Provider
Lawrence Caplan, M.D.'s 36 claims are below the specialty average of 63.
Nearby Diagnostic Radiology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Caplan.
Dr. Adel Abadir
MD
Middletown, NY
Dr. Almas Abbasi
M.D.
Stony Brook, NY
Dr. Genevieve Abbey
M.D.
New York, NY
Ghadi Abboud
New York, NY
Dr. Salah Abdelhadi
M.D.
Williamsville, NY
Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Diagnostic Radiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Lawrence Caplan, M.D.'s specialty? ▼
Lawrence Caplan, M.D. specializes in Diagnostic Radiology Physician and practices in New York, New York. Credentials: M.D..
How much does Lawrence Caplan, M.D. prescribe under Medicare Part D? ▼
In 2023, Lawrence Caplan, M.D. wrote 36 Medicare Part D claims totaling $10K in drug costs for N/A beneficiaries.
Where is Lawrence Caplan, M.D. located? ▼
Lawrence Caplan, M.D. is located at 10 W. 66TH ST., New York, NY, 10023. Phone: (212) 787-6018.
What is Lawrence Caplan, M.D.'s NPI number? ▼
Lawrence Caplan, M.D.'s National Provider Identifier (NPI) is 1093056673, issued on 03/07/2013.
Does Lawrence Caplan, M.D. prescribe more brand-name or generic drugs? ▼
Lawrence Caplan, M.D.'s prescribing is 33% brand-name and 67% generic drugs by claim count, with $7K in brand drug costs.
How many Diagnostic Radiology Physician providers are there in the US? ▼
There are 39,474 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 63 Medicare Part D claims per year.
Does Lawrence Caplan, M.D. accept Medicare? ▼
Lawrence Caplan, M.D. appears in CMS Medicare data with 36 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lawrence Caplan, M.D.'s credentials? ▼
Lawrence Caplan, M.D.'s NPI is 1093056673 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.
- 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 PlainDoctor editorial team.