Physician

Barry Jon Kaplan, M.D.

According to 2025 Medicare claims, Barry Kaplan, M.D. (NPI: 1548358385) practices neurosurgery in the Hickory-Lenoir-Morganton, NC market, with the plurality of this provider's patient population coming from Catawba, NC. This provider's primary affiliated billing organization is DLP FRYE MEDICAL GROUP LLC (NPI: 1780358176; TIN: 814497668) and primary practice location at 28601-5033. Kaplan is affiliated with the AdvantagePoint Health Alliance - Western North Carolina, LLC (ACO ID: A5039), participating under the MSSP model.

Kaplan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 145 traditional Medicare patients, billed 360 HCPCS/CPT codes, and received $69,629 in Medicare payments. The top billing code was 63047 (Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment). Part D data shows 144 prescription claims across 59 beneficiaries totaling $1,912 in drug costs, led by Methylprednisolone (Methylprednisolone). 2020 DME data shows 35 claims. Open Payments data shows 4 records totaling $297. 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 started with an early spike, then settled into a lower baseline, moving from $488,402 to $69,629. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $26,321 to $1,912. For DME billing, reported payments fell sharply in recent years, from $127,870 to $503.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	517	1,621	$488,402
2016	576	1,647	$470,026
2017	523	1,437	$424,204
2018	375	947	$276,642
2019	285	710	$244,762
2020	266	608	$169,016
2021	202	437	$117,601
2022	51	96	$15,899
2023	148	362	$66,015
2024	145	360	$69,629

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	290	1,084	$26,321
2016	269	839	$17,972
2017	277	841	$15,757
2018	207	574	$10,089
2019	189	594	$9,948
2020	186	595	$11,918
2021	166	474	$4,824
2022	26	49	$491
2023	45	88	$918
2024	59	144	$1,912

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	114	115	$178,576
2016	64	64	$109,475
2017	49	49	$166,392
2018	28	28	$96,127
2019	11	37	$39,645
2020	N/R	35	$2,011
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
63047	Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	15	15	$778
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	17	$126
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$115
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	21	$88
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	66	103	$65

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	34	216	$202
Gabapentin	Gabapentin	27	810	$185
Duloxetine Hcl	Duloxetine Hcl	18	513	$118
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	11	210	$80

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.	4	$297	BIOTRONIK 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 Barry Jon Kaplan, M.D.?

Tedicare shows public-source Medicare data for Barry Jon Kaplan, M.D. (NPI 1548358385), 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 Barry Jon Kaplan, M.D. have ACO affiliation data?

Barry Jon Kaplan, M.D. is shown with ACO affiliation data for AdvantagePoint Health Alliance - Western North Carolina, LLC (MSSP, ACO ID A5039).

What billing organization is linked to Barry Jon Kaplan, M.D.?

Barry Jon Kaplan, M.D. is linked to DLP FRYE MEDICAL GROUP LLC (billing NPI 1780358176) in the available physician profile data.

Does Barry Jon Kaplan, M.D. have Open Payments data?

Barry Jon Kaplan, M.D. has 4 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.