Michael Kaplan, M.D.
NPI 1073925913ActiveIndividual· Internal Medicine, Rheumatology· New York, NY
Internal Medicine, Rheumatology (M.D.) with Icahn School of Medicine at Mount Sinai, practicing in New York, New York. Their prescriptions cost Medicare Part D more than their services did: $296,387 for 2,045 claims, against $28,046 paid for services in 2024. Tonix Medicines, Inc. was the largest of 4 companies reporting payments in 2025, $6,520 in all, mostly consulting fees. Lists Mount Sinai West as a hospital affiliation.
Overview
| NPI | 1073925913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 27, 2014 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | May 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 288842 | NY |
| Hospitalist | 208M00000X | 288842 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 141 |
|---|---|
| Services billed | 483 across 14 procedure codes |
| Paid by Medicare | $28,046 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,045 · 2,968 30-day fills |
|---|---|
| Patients | 261 |
| Total drug cost | $296,387 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Rheumatology |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Icahn School of Medicine at Mount SinaiNew York, NY · 2,843 clinicians
Hospital affiliation
- Mount Sinai WestNew York, NY
Industry payments (Open Payments)
- 2025$6,520 · 11 payments from 4 companies
- 2024$2,109 · 11 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tonix Medicines, Inc. | $6,293 | 8 |
| Sobi, Inc | $96.55 | 1 |
| Novartis Pharmaceuticals Corporation | $76.50 | 1 |
| Vertex Pharmaceuticals Incorporated | $54.18 | 1 |
What the 2025 payments were for
- Consulting Fee$4,988 · 1 payment
- Food and Beverage$990.11 · 9 payments
- Travel and Lodging$541.67 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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