NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1295734044 DO
Verify on CMS → Philip Kaplan, DO
Critical Care Medicine (Internal Medicine) Physician in Novi, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,646 in Critical Care Medicine (Internal Medicine) 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
378
Medicare Part D claims · 93 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$791.36
32 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
Philip Kaplan, DO reported a CMS MIPS final score of 81/100 - below the 83.1 national average - and filed 378 Medicare Part D claims in 2023.
- 81/100
- MIPS score · -2 vs avg
- 378
- Part D claims, 2023
- 54%
- 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.
Philip Kaplan, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 33rd percentile higher than 33% 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 Philip Kaplan, DO sits
This provider among critical care medicine (internal medicine) physician peers
Across the 1,643 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Philip Kaplan, DO writes more Part D claims than 34% of them and scores higher on MIPS quality than 34% - placing this provider in the lower-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 critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Philip Kaplan, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Philip Kaplan, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Philip Kaplan, DO?
Near national averagePrimary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
378 65% vs specialty avg
MIPS final score
81/100 2.1 pts vs avg
Specialty distribution in Michigan
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Philip Kaplan, DO's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 81/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 81/100 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).
Philip Kaplan, DO appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding DO credentials at PULMONARY & CORTICAL CARE SPECIALISTS, PC, Novi, MI, 48375, with a listed phone of (248) 449-7010. NPI 1295734044 was issued on 07/14/2005.
Medicare Part D records for calendar year 2023 show 378 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $321K in drug spend, split 46% brand-name and 54% generic by claim count, with an opioid prescribing rate of 14.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81/100 for the 2023 performance year (Quality 67.3, Cost 59.7), compared with the national average of 83.1.
Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,646 enrolled providers across 53 states and an average of 1,069 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 | 1295734044 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 07/14/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.9905
Final Score
Avg: 83.1
67.2503
Quality
59.7327
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Philip Kaplan, DO 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.
Beaumont Medical Group- Specialty Services
Farmington Hills, MI
Pulmonary And Critical Care Specialists, P.C.
Novi, MI
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 Philip Kaplan, DO. Source: openpaymentsdata.cms.gov.
Total received
$791
Largest payer
GlaxoSmithKline, LLC.
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.
License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Philip Kaplan, DO. To verify Philip Kaplan, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Philip Kaplan, DO - brand share 46.0%
Critical Care Medicine (Internal Medicine) Physician average
46% brand-name claims vs 54% generic, on 378 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.
378
Total Claims
$321K
Total Drug Cost
93
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 481
- Total Day Supply
- 13,440
- Brand vs Generic
- 46% brand / 54% generic
- Brand Drug Cost
- $317K
- Generic Drug Cost
- $4K
- Opioid Claims
- 53 (14.0% rate)
- Antibiotic Claims
- 42
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 2.00
- Gender Split
- 57% female / 43% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Philip Kaplan, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
84 claims
- Oxycodone Hcl
Oxycodone Hcl
50 claims
- Azithromycin
Azithromycin
39 claims
- Ibuprofen
Ibuprofen
35 claims
- Ofev 17
Ofev
17 claims
- Breztri Aerosphere 15
Breztri Aerosphere
15 claims
- Prednisone 14
Prednisone
14 claims
- Symbicort 11
Symbicort
11 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 84 |
| Oxycodone Hcl | 50 |
| Azithromycin | 39 |
| Ibuprofen | 35 |
| Ofev Nintedanib Esylate | 17 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 15 |
| Prednisone | 14 |
| Symbicort Budesonide/Formoterol Fumarate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in MI →
All providers in Michigan →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Philip Kaplan, DO fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,646
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider
Philip Kaplan, DO's 378 claims are below the specialty average of 1,069.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, 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 Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Michigan
Frequently Asked Questions
What is Philip Kaplan, DO's specialty? ▼
Philip Kaplan, DO specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Novi, Michigan. Credentials: DO.
How much does Philip Kaplan, DO prescribe under Medicare Part D? ▼
In 2023, Philip Kaplan, DO wrote 378 Medicare Part D claims totaling $321K in drug costs for 93 beneficiaries.
What is Philip Kaplan, DO's Medicare quality score? ▼
Philip Kaplan, DO has a CMS MIPS Final Score of 81/100 (Quality: 67.3, Cost: 59.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Philip Kaplan, DO located? ▼
Philip Kaplan, DO is located at PULMONARY & CORTICAL CARE SPECIALISTS, PC, Novi, MI, 48375. Phone: (248) 449-7010.
What is Philip Kaplan, DO's NPI number? ▼
Philip Kaplan, DO's National Provider Identifier (NPI) is 1295734044, issued on 07/14/2005.
Does Philip Kaplan, DO prescribe more brand-name or generic drugs? ▼
Philip Kaplan, DO's prescribing is 46% brand-name and 54% generic drugs by claim count, with $317K in brand drug costs.
Does Philip Kaplan, DO prescribe opioids? ▼
Yes, Philip Kaplan, DO had 53 opioid claims in 2023 with an opioid prescribing rate of 14.0%.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,646 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Philip Kaplan, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Philip Kaplan, DO's most frequently prescribed drugs include Trelegy Ellipta, Oxycodone Hcl, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Philip Kaplan, DO accept Medicare? ▼
Philip Kaplan, DO appears in CMS Medicare data with 378 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philip Kaplan, DO's credentials? ▼
Philip Kaplan, DO's NPI is 1295734044 with credentials DO. 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.