NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1093868226 M.D.
Verify on CMS → Marcia Kaplan, M.D.
Psychiatry Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 54,383 in Psychiatry 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
881
Medicare Part D claims · 76 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Marcia Kaplan, M.D. filed 881 Medicare Part D claims in 2024 as a Psychiatry Physician in Cincinnati, Ohio, prescribing 95% generic.
- 881
- Part D claims, 2024
- 95%
- generic prescribing
- ≥72nd
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Marcia Kaplan, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1093868226), first enumerated 01/19/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 881 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- State context
State board disciplinary context
Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Marcia Kaplan, M.D.'s individual license status. Verify directly with the state medical board.
Source: OMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1093868226 · Psychiatry Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1093868226
- ENUM-MID 2007
- TAX-MEGA 54K Psychiatry Physician
- RX-LIGHT 881
- BOOK-LIGHT 1,500 in Ohio
- PHOTO-ENUM James Cole, MD · 2007
Marcia Kaplan, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
881 ≥ 72nd percentile 72% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
Marcia Kaplan, 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 Marcia Kaplan, M.D.?
Quality data not reportedPrimary specialty
Psychiatry Physician
Medicare Part D claims
881 13% vs specialty avg
Specialty distribution in Ohio
How Psychiatry Physician compares to other specialties among Ohio 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 Psychiatry 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).
Practice Address
Provider Details
| NPI | 1093868226 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 01/19/2007 |
License & disciplinary context - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Marcia Kaplan, M.D.. To verify Marcia Kaplan, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Marcia Kaplan, M.D. - brand share 5.0%
Psychiatry Physician average
5% brand-name claims vs 95% generic, on 881 2024 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 2024.
881
Total Claims
$55K
Total Drug Cost
76
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,803.867
- Total Day Supply
- 53,511
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $29K
- Generic Drug Cost
- $26K
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 63% female / 37% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Marcia Kaplan, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Quetiapine Fumarate
Quetiapine Fumarate
115 claims
- Olanzapine
Olanzapine
78 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
70 claims
- Clonazepam
Clonazepam
51 claims
- Trazodone Hcl 44
Trazodone Hcl
44 claims
- Lamotrigine 40
Lamotrigine
40 claims
- Dextroamphetamine-… 32
Dextroamphetamine-Amphetamine
32 claims
- Dextroamphetamine-… 30
Dextroamphetamine-Amphet Er
30 claims
| Drug | Claims |
|---|---|
| Quetiapine Fumarate | 115 |
| Olanzapine | 78 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 70 |
| Clonazepam | 51 |
| Trazodone Hcl | 44 |
| Lamotrigine | 40 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 32 |
| Dextroamphetamine-Amphet Er Dextroamphetamine/Amphetamine | 30 |
| Lorazepam | 30 |
| Tranylcypromine Sulfate | 29 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Marcia Kaplan, M.D. fits within the Psychiatry Physician landscape nationally.
54,383
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,010
Avg Claims per Provider
Marcia Kaplan, M.D.'s 881 claims are below the specialty average of 1,010.
Nationwide Psychiatry Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kaplan, both outside Ohio so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatry Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Kaplan.
One of 1,500 Psychiatry Physician providers enrolled in Ohio, 5 are shown here.
Dr. Abdelrahman Abdelaziz
MD
Westlake, OH
Dr. Nadina Abdullayeva
MD
Northfield, OH
Dr. Said Abou Haidar
MD
Avon Lake, OH
Dr. Shiny Abraham
M.D
Cleveland, OH
Dr. Daniel Abramson
MD
Beavercreek, OH
Compare Psychiatry Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Marcia Kaplan, M.D.'s specialty? ▼
Marcia Kaplan, M.D. specializes in Psychiatry Physician and practices in Cincinnati, Ohio. Credentials: M.D..
How much does Marcia Kaplan, M.D. prescribe under Medicare Part D? ▼
In 2024, Marcia Kaplan, M.D. wrote 881 Medicare Part D claims totaling $55K in drug costs for 76 beneficiaries.
Where is Marcia Kaplan, M.D. located? ▼
Marcia Kaplan, M.D. is located at 3001 HIGHLAND AVE, Cincinnati, OH, 45219. Phone: (513) 961-8484.
What is Marcia Kaplan, M.D.'s NPI number? ▼
Marcia Kaplan, M.D.'s National Provider Identifier (NPI) is 1093868226, issued on 01/19/2007.
Does Marcia Kaplan, M.D. prescribe more brand-name or generic drugs? ▼
Marcia Kaplan, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $29K in brand drug costs.
How many Psychiatry Physician providers are there in the US? ▼
There are 54,383 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,010 Medicare Part D claims per year.
What drugs does Marcia Kaplan, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Marcia Kaplan, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Olanzapine, Venlafaxine Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marcia Kaplan, M.D. accept Medicare? ▼
Marcia Kaplan, M.D. appears in CMS Medicare data with 881 Part D claims and 76 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marcia Kaplan, M.D.'s credentials? ▼
Marcia Kaplan, M.D.'s NPI is 1093868226 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.