Roy A. Kaplan, M.D.
NPI 1215962451ActiveIndividual· Internal Medicine, Rheumatology· Encinitas, CA
Opted out of Medicare from July 2019 to July 2027. Internal Medicine, Rheumatology (M.D.) in Encinitas, California, licensed in CA, with an NPI issued in July 2006. Part D covered 243 prescriptions written in 2024, 74% of them generic. Abbvie Inc. was the largest of 2 companies reporting payments in 2025, $267.60 in all, mostly food and beverage.
Overview
| NPI | 1215962451 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | G31859 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2019 – Jul 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 243 · 482 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $439,589 |
| Generic share | 74% of claims |
Industry payments (Open Payments)
- 2025$267.60 · 4 payments from 2 companies
- 2024$138.37 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $147.46 | 3 |
| Ucb, Inc. | $120.14 | 1 |
What the 2025 payments were for
- Food and Beverage$267.60 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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