NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1720029010 M.D.
Verify on CMS → Peter Kaplan, M.D.
Neurology Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,885 in Neurology 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
1K
Medicare Part D claims · 157 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
95%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.4/100
▼ 9 pts below national avg 83.1 · Mid-tier
Industry payments
$25.0K
3 payments · CMS Open Payments (Sunshine Act)
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
Peter Kaplan, M.D. reported a CMS MIPS final score of 74.4/100 - below the 83.1 national average - and filed 1,442 Medicare Part D claims in 2023.
- 74.4/100
- MIPS score · -9 vs avg
- 1K
- Part D claims, 2023
- 95%
- 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.
Peter Kaplan, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
74 12th percentile higher than 12% of 477,587 scored providers
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
Where Peter Kaplan, M.D. sits
This provider among neurology physician peers
Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Peter Kaplan, M.D. writes more Part D claims than 59% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Peter Kaplan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Peter Kaplan, M.D. 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 Peter Kaplan, M.D.?
Below national averagePrimary specialty
Neurology Physician
Medicare Part D claims
1,442 10% vs specialty avg
MIPS final score
74.4/100 8.7 pts vs avg
Specialty distribution in Maryland
How Neurology Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Peter Kaplan, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 74.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neurology Physician) - 74.4/100 vs national avg 83.1
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).
Peter Kaplan, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 4940 EASTERN AVE, Baltimore, MD, 21224, with a listed phone of (410) 550-5624. NPI 1720029010 was issued on 06/09/2006.
Medicare Part D records for calendar year 2023 show 1,442 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $182K in drug spend, split 3% brand-name and 95% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.4/100 for the 2023 performance year (Quality 64.7, Cost 52.4), compared with the national average of 83.1.
Neurology Physician is a mid-sized specialty nationwide, with 19,885 enrolled providers across 54 states and an average of 1,309 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 | 1720029010 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/09/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Peter Kaplan, 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.
Johns Hopkins University
Baltimore, MD
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 Peter Kaplan, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$25.0K
Largest payer
NATUS MEDICAL INCORPORATED
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 · Generic-heavy
Peter Kaplan, M.D. - brand share 3.0%
Neurology Physician average
3% brand-name claims vs 95% generic, on 1,442 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.
1,442
Total Claims
$182K
Total Drug Cost
157
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,412
- Total Day Supply
- 69,309
- Brand vs Generic
- 3% brand / 95% generic
- Brand Drug Cost
- $69K
- Generic Drug Cost
- $113K
Patient Demographics
- Average Patient Age
- 59.9 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 88, 65-74: 38, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Peter Kaplan, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levetiracetam
Levetiracetam
319 claims
- Lamotrigine
Lamotrigine
298 claims
- Lacosamide 124
Lacosamide
124 claims
- Zonisamide 101
Zonisamide
101 claims
- Divalproex Sodium 83
Divalproex Sodium
83 claims
- Topiramate 72
Topiramate
72 claims
- Carbamazepine 62
Carbamazepine
62 claims
- Carbamazepine Er 59
Carbamazepine Er
59 claims
| Drug | Claims |
|---|---|
| Levetiracetam | 319 |
| Lamotrigine | 298 |
| Lacosamide | 124 |
| Zonisamide | 101 |
| Divalproex Sodium | 83 |
| Topiramate | 72 |
| Carbamazepine | 62 |
| Carbamazepine Er Carbamazepine | 59 |
| Divalproex Sodium Er Divalproex Sodium | 51 |
| Oxcarbazepine | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Peter Kaplan, M.D. fits within the Neurology Physician landscape nationally.
19,885
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Peter Kaplan, M.D.'s 1,442 claims are above the specialty average of 1,309.
Nearby Neurology Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Kaplan.
Dr. Orwa Aboud
M.D. PH.D
Baltimore, MD
Dr. Malik Adil
MD
Bethesda, MD
Dr. Busranur Agac
MD
Bethesda, MD
Dr. Gurdeep Ahluwalia
M.D.
Annapolis, MD
Dr. Ghasan Ahmad
MD
Baltimore, MD
Compare Neurology 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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology 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 Peter Kaplan, M.D.'s specialty? ▼
Peter Kaplan, M.D. specializes in Neurology Physician and practices in Baltimore, Maryland. Credentials: M.D..
How much does Peter Kaplan, M.D. prescribe under Medicare Part D? ▼
In 2023, Peter Kaplan, M.D. wrote 1,442 Medicare Part D claims totaling $182K in drug costs for 157 beneficiaries.
What is Peter Kaplan, M.D.'s Medicare quality score? ▼
Peter Kaplan, M.D. has a CMS MIPS Final Score of 74.4/100 (Quality: 64.7, Cost: 52.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Peter Kaplan, M.D. located? ▼
Peter Kaplan, M.D. is located at 4940 EASTERN AVE, Baltimore, MD, 21224. Phone: (410) 550-5624.
What is Peter Kaplan, M.D.'s NPI number? ▼
Peter Kaplan, M.D.'s National Provider Identifier (NPI) is 1720029010, issued on 06/09/2006.
Does Peter Kaplan, M.D. prescribe more brand-name or generic drugs? ▼
Peter Kaplan, M.D.'s prescribing is 3% brand-name and 95% generic drugs by claim count, with $69K in brand drug costs.
How many Neurology Physician providers are there in the US? ▼
There are 19,885 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Peter Kaplan, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Peter Kaplan, M.D.'s most frequently prescribed drugs include Levetiracetam, Lamotrigine, Lacosamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Peter Kaplan, M.D. accept Medicare? ▼
Peter Kaplan, M.D. appears in CMS Medicare data with 1,442 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Peter Kaplan, M.D.'s credentials? ▼
Peter Kaplan, M.D.'s NPI is 1720029010 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 PlainDoctor editorial team.
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.