Michael J Kaplan, MD - Medicare Sports Medicine in Middlebury, CT

Michael J Kaplan, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Middlebury, Connecticut. He went to University Of Vermont College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Active Orthopaedics Pc and his current practice location is 1579 Straits Turnpike, Middlebury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 758-1272.

Michael J Kaplan is licensed to practice in Connecticut (license number 034194) 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 1124047196.

Contact Information

Michael J Kaplan, MD
1579 Straits Turnpike,
Middlebury, CT 06762
(203) 758-1272
(203) 758-1070

Map and Direction




Physician's Profile

Full NameMichael J Kaplan
GenderMale
SpecialitySports Medicine
Experience37 Years
Location1579 Straits Turnpike, Middlebury, 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:
  • Michael J Kaplan attended and graduated from University Of Vermont College Of Medicine in 1987
  NPI Data:
  • NPI Number: 1124047196
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 02/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002824414
  • Enrollment ID: I20101130000401

Medical Identifiers

Medical identifiers for Michael J Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124047196NPI-NPPES
341940OtherCTCONNECTICARE INSURANCE
00134194000OtherCTANTHEM BC FAMILY PLAN
010034194CT01OtherCTANTHEM BC BS OF CT
0R0384OtherCTHEALTHNET
NHS375OtherCTOXFORD HEALTH PLANS
1341940MedicaidCT
501812OtherCTAETNA HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 034194 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waterbury HospitalWaterbury, CTHospital
Saint Mary's HospitalWaterbury, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Active Orthopaedics Pc17593991653

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. Michael J Kaplan allows following entities to bill medicare on his behalf.
Entity NameActive Orthopaedics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083797401
PECOS PAC ID: 1759399165
Enrollment ID: O20060327000707

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. Michael J Kaplan 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
Michael J Kaplan, MD
1579 Straits Turnpike,
Middlebury, CT 06762

Ph: (203) 758-1272
Michael J Kaplan, MD
1579 Straits Turnpike,
Middlebury, CT 06762

Ph: (203) 758-1272

Reviews and Comments


Orthopaedic Surgery Doctors in Middlebury, CT

Dr. Robert E Kennon, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1579 Straits Turnpike, Suite E, Orthopaedics New England Pc, Middlebury, CT 06762
Phone: 203-598-0700    Fax: 877-345-6922
Dr. Charles Edward Raftery, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1579 Straits Tpke, Middlebury, CT 06762
Phone: 203-758-2003    Fax: 203-758-2144
Dr. John M Keggi, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1579 Straits Turnpike, Suite E, Orthopaedics New England Pc, Middlebury, CT 06762
Phone: 203-598-0700    Fax: 877-345-6922
Dr. Erik James Carlson, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1579 Straits Tpke, Active Orthopaedics, Middlebury, CT 06762
Phone: 203-758-1272    Fax: 203-758-1070

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.