Peter J Kaplan, MD - Medicare Hospitalist in Lawrenceville, GA

Peter J Kaplan, MD is a medicare enrolled "Internal Medicine" physician in Lawrenceville, Georgia. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1993 and has 33 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Gwinnett Hospital System Gme, Llc and his current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 312-3273.

Peter J Kaplan is licensed to practice in Georgia (license number 54247) 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 1942203757.

Contact Information

Peter J Kaplan, MD
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694
(678) 312-3273
(678) 312-3282

Map and Direction




Physician's Profile

Full NamePeter J Kaplan
GenderMale
SpecialityHospitalist
Experience33 Years
Location1000 Medical Center Blvd, Lawrenceville, Georgia
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:
  • Peter J Kaplan attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1993
  NPI Data:
  • NPI Number: 1942203757
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 06/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7618959263
  • Enrollment ID: I20040607000401

Medical Identifiers

Medical identifiers for Peter J Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942203757NPI-NPPES
182139280AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 54247 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gwinnett Hospital System Gme, Llc064850489423

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. Peter J Kaplan allows following entities to bill medicare on his behalf.
Entity NameGwinnett Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952340994
PECOS PAC ID: 8123916426
Enrollment ID: O20040309000009
Entity NameGwinnett Physician Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578574661
PECOS PAC ID: 9133211139
Enrollment ID: O20070822001035
Entity NameNorthside Urgent Care Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679962237
PECOS PAC ID: 4587984695
Enrollment ID: O20150513000795
Entity NameGwinnett Hospital System Gme, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076927
PECOS PAC ID: 0648504894
Enrollment ID: O20190622000303

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. Peter 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
Peter J Kaplan, MD
665 Duluth Hwy Ste 401,
Lawrenceville, GA 30046-4303

Ph: (678) 312-0450
Peter J Kaplan, MD
1000 Medical Center Blvd,
Lawrenceville, GA 30045-7694

Ph: (678) 312-3273

Reviews and Comments


Internal Medicine Doctors in Lawrenceville, GA

Florin C Georgescu, M. D.
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Medicare: Accepting Medicare Assignments
Practice Location: 605 Old Norcross Rd Ste A, Lawrenceville, GA 30046
Phone: 770-962-1231    
Dr. Angus C Howard Jr., M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046
Phone: 404-645-7150    
Gary Mcmorris, MD
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043
Phone: 770-682-1717    Fax: 770-682-1723
Niraj Sharma, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046
Phone: 404-962-6000    Fax: 404-962-6001
Dr. Karuna Kusan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043
Phone: 770-995-0466    Fax: 770-995-0472
Mr. Spencer I Rozin, MD FACP
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046
Phone: 770-709-0900    Fax: 770-709-7444
Praveen Sivakumaran, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 631 Professional Dr Ste 450, Lawrenceville, GA 30046
Phone: 770-963-8030    Fax: 770-339-9577

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.