Richard J Kaplon, MD - Medicare Thoracic Surgery in Danbury, CT

Richard J Kaplon, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Danbury, Connecticut. He went to New York University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Nuvance Health Medical Practice Ct Inc and his current practice location is 111 Osborne St Ste 131, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 739-6950.

Richard J Kaplon is licensed to practice in Connecticut (license number 67727) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891747390.

Contact Information

Richard J Kaplon, MD
111 Osborne St Ste 131,
Danbury, CT 06810-6019
(203) 739-6950
Not Available

Map and Direction




Physician's Profile

Full NameRichard J Kaplon
GenderMale
SpecialityThoracic Surgery
Experience35 Years
Location111 Osborne St Ste 131, Danbury, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard J Kaplon attended and graduated from New York University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1891747390
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325024797
  • Enrollment ID: I20210511002346

Medical Identifiers

Medical identifiers for Richard J Kaplon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891747390NPI-NPPES
00G864040MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) G86404 (California)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 67727 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Danbury HospitalDanbury, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nuvance Health Medical Practice Ct Inc4789597691648

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard J Kaplon allows following entities to bill medicare on his behalf.
Entity NameNuvance Health Medical Practice Ct Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407898117
PECOS PAC ID: 4789597691
Enrollment ID: O20031205000130

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard J Kaplon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard J Kaplon, MD
111 Osborne St Ste 131,
Danbury, CT 06810-6019

Ph: (203) 739-6950
Richard J Kaplon, MD
111 Osborne St Ste 131,
Danbury, CT 06810-6019

Ph: (203) 739-6950

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Danbury, CT

Constantine Michael Poulos, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 24 Hospital Ave, Danbury, CT 06810
Phone: 203-554-3885    
Dr. Mohir H Hedeshian, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 24 Hospital Ave, Danbury, CT 06810
Phone: 203-739-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.