NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1124047196 MD
Verify on CMS → Michael Kaplan, MD
Sports Medicine (Orthopaedic Surgery) Physician in Middlebury, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic Surgery) 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
303
Medicare Part D claims · 170 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Industry payments
$48.24
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Kaplan, MD filed 303 Medicare Part D claims in 2023 as a Sports Medicine (Orthopaedic Surgery) Physician in Middlebury, Connecticut.
- 303
- Part D claims, 2023
- 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.
Michael Kaplan, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
303 Top 43% higher than 57% 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 certification likely (heuristic, not verified)
Michael Kaplan, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Michael Kaplan, MD?
Quality data not reportedPrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
303 9% vs specialty avg
Specialty distribution in Connecticut
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Connecticut 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 Sports Medicine (Orthopaedic Surgery) 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).
Michael Kaplan, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 1579 STRAITS TURNPIKE, Middlebury, CT, 06762, with a listed phone of (203) 758-1272. NPI 1124047196 was issued on 07/19/2006.
Medicare Part D records for calendar year 2023 show 303 prescription claims written by this provider, covering 170 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 26.4%.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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 | 1124047196 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/19/2006 |
Hospital and facility affiliations
Facilities where Michael 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.
Active Orthopaedics PC
Middlebury, CT
Mclean Fund
Simsbury, CT
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 Michael Kaplan, MD. Source: openpaymentsdata.cms.gov.
Total received
$48
Largest payer
Smith+Nephew, Inc.
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
303
Total Claims
$8K
Total Drug Cost
170
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 318
- Total Day Supply
- 3,988
- Generic Drug Cost
- $6K
- Opioid Claims
- 80 (26.4% rate)
- Antibiotic Claims
- 125
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 0.91
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Kaplan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amoxicillin
Amoxicillin
87 claims
- Oxycodone Hcl
Oxycodone Hcl
35 claims
- Celecoxib 30
Celecoxib
30 claims
- Hydrocodone-Acetam… 21
Hydrocodone-Acetaminophen
21 claims
- Ondansetron Odt 21
Ondansetron Odt
21 claims
- Meloxicam 19
Meloxicam
19 claims
- Tramadol Hcl 16
Tramadol Hcl
16 claims
| Drug | Claims |
|---|---|
| Amoxicillin | 87 |
| Oxycodone Hcl | 35 |
| Celecoxib | 30 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 21 |
| Ondansetron Odt Ondansetron | 21 |
| Meloxicam | 19 |
| Tramadol Hcl | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in CT →
All providers in Connecticut →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Michael Kaplan, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
Michael Kaplan, MD's 303 claims are above the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Kaplan.
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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic Surgery) 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Michael Kaplan, MD's specialty? ▼
Michael Kaplan, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Middlebury, Connecticut. Credentials: MD.
How much does Michael Kaplan, MD prescribe under Medicare Part D? ▼
In 2023, Michael Kaplan, MD wrote 303 Medicare Part D claims totaling $8K in drug costs for 170 beneficiaries.
Where is Michael Kaplan, MD located? ▼
Michael Kaplan, MD is located at 1579 STRAITS TURNPIKE, Middlebury, CT, 06762. Phone: (203) 758-1272.
What is Michael Kaplan, MD's NPI number? ▼
Michael Kaplan, MD's National Provider Identifier (NPI) is 1124047196, issued on 07/19/2006.
Does Michael Kaplan, MD prescribe opioids? ▼
Yes, Michael Kaplan, MD had 80 opioid claims in 2023 with an opioid prescribing rate of 26.4%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Michael Kaplan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Kaplan, MD's most frequently prescribed drugs include Amoxicillin, Oxycodone Hcl, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Kaplan, MD accept Medicare? ▼
Michael Kaplan, MD appears in CMS Medicare data with 303 Part D claims and 170 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Kaplan, MD's credentials? ▼
Michael Kaplan, MD's NPI is 1124047196 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
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.