Matthew Sinclair Kaplan, M.D.
NPI 1518991322ActiveIndividual· Emergency Medicine· Mission Viejo, CA
Emergency Medicine (M.D.) in Mission Viejo, California, trained at Tulane University School of Medicine (class of 1995). 329 Medicare patients in 2024, $49,301 paid; nearly all of their 151 Part D prescriptions were generic (95%).
Overview
| NPI | 1518991322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | Jun 27, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | A61677 | 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) | Enrolled Practitioner - Emergency Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 329 |
|---|---|
| Services billed | 426 across 20 procedure codes |
| Paid by Medicare | $49,301 |
Part D prescriptions in 2024
| Prescriptions (claims) | 151 · 151 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $1,658 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | Tulane University School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Emergency Medicine |
Medical group
- Mission Viejo Emergency Medical AssociatesMission Viejo, CA · 18 clinicians
Hospital affiliation
- Providence Mission HospitalMission Viejo, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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