Michael J. Kaplan, MD
NPI 1124047196ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Middlebury, CT
Orthopaedic Surgery, Sports Medicine (MD) in Middlebury, Connecticut, trained at University of Vermont College of Medicine (class of 1987). 349 Medicare patients in 2024, $117,578 paid; nearly all of their 220 Part D prescriptions were generic (99%). Smith+nephew, Inc. reported $48.24 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124047196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Feb 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 034194 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 349 |
|---|---|
| Services billed | 6,778 across 47 procedure codes |
| Paid by Medicare | $117,578 |
Part D prescriptions in 2024
| Prescriptions (claims) | 220 · 241 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $2,111 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Sports Medicine |
| Secondary specialties | Orthopedic Surgery |
Medical groups
- McLean FundSimsbury, CT · 108 clinicians
- Active Orthopaedics PCMiddlebury, CT · 4 clinicians
Hospital affiliations
- Saint Mary's HospitalWaterbury, CT
- Waterbury HospitalWaterbury, CT
Other facilities
- Uconn Health Community Network Home Health, Inc.Home health agency · Watertown, CT
Industry payments (Open Payments)
- 2024$48.24 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $48.24 | 1 |
What the 2024 payments were for
- Food and Beverage$48.24 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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