Physician

Brian Jay Kaplan, M.D.

According to 2025 Medicare claims, Brian Kaplan, M.D. (NPI: 1164505236) practices surgical oncology in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Kings, NY. This provider's primary affiliated billing organization is NEW YORK UNIVERSITY (NPI: 1285826438; TIN: 472665045) and primary practice location at 11209-3315.

Kaplan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 92 traditional Medicare patients, billed 204 HCPCS/CPT codes, and received $39,084 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 81 prescription claims across 23 beneficiaries totaling $63,556 in drug costs, led by Creon (Lipase/Protease/Amylase). 2020 DME data shows 72 claims. Open Payments data shows 15 records totaling $1,118. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $129,183 to $39,084. In contrast, Part D prescription costs have moved sharply higher in recent years, from $139 to $63,556. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	415	762	$129,183
2016	352	735	$130,952
2017	362	799	$128,226
2018	377	891	$144,092
2019	394	838	$139,755
2020	390	933	$160,245
2021	238	515	$78,378
2022	60	120	$14,756
2023	74	154	$43,676
2024	92	204	$39,084

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	11	15	$139
2016	14	19	$314
2017	12	16	$554
2018	16	30	$794
2019	17	33	$2,287
2020	48	113	$15,296
2021	33	83	$24,799
2022	N/R	23	$3,223
2023	22	51	$27,086
2024	23	81	$63,556

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	240	$59,233
2016	N/R	244	$109,949
2017	N/R	305	$161,265
2018	N/R	148	$9,977
2019	N/R	115	$8,122
2020	N/R	72	$31,785
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$127
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$99
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	29	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	39	60	$74
36415	Insertion of needle into vein for collection of blood sample	18	19	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Creon	Lipase/Protease/Amylase	40	1,565	$62,420

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$1,118	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Brian Jay Kaplan, M.D.?

Tedicare shows public-source Medicare data for Brian Jay Kaplan, M.D. (NPI 1164505236), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Brian Jay Kaplan, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Brian Jay Kaplan, M.D.?

Brian Jay Kaplan, M.D. is linked to NEW YORK UNIVERSITY (billing NPI 1285826438) in the available physician profile data.

Does Brian Jay Kaplan, M.D. have Open Payments data?

Brian Jay Kaplan, M.D. has 15 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.