2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1295734044 DO
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PHILIP KAPLAN, DO

Critical Care Medicine (Internal Medicine) Physician in NOVI, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
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
80.9905/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$791.36
32 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PHILIP KAPLAN, DO reported a CMS MIPS final score of 80.9905/100 — below the 83.1 national average — and filed 378 Medicare Part D claims in 2023.

80.9905/100
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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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 average

NPI registry status

Active

Issued 07/14/2005

NPI 1295734044

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

378 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

80.9905/100 2.109499999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Michigan providers

Michigan providers

Critical Care Medicine (Internal Medicine) Physician share within Michigan

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Michigan

Medicare quality performance — MIPS

PHILIP KAPLAN, DO's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Near national average
MIPS Final Score
80.9905/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 80.9905/100 vs national avg 83.1

0%100%National avg83%81%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 80.9905/100 vs national avg 83.1

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPLAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.9905/100 for the 2023 performance year (Quality 67.2503, Cost 59.7327), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 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

PULMONARY & CORTICAL CARE SPECIALISTS, PC
NOVI, MI 48375

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Critical Care Medicine (Internal Medicine) Physician Overview

How PHILIP KAPLAN, DO fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
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.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

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 80.9905/100 (Quality: 67.2503, Cost: 59.7327). 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 6,631 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

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