Medicare Enrolled

Dr. Steven Kaplan, M.D.

Family Medicine · Clayton, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
5439 CLAYTON ROAD, Clayton, CA 94517
9256726744
In practice since 2006 (19 years)
NPI: 1518073030 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kaplan from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Kaplan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kaplan

Dr. Steven Kaplan is a family medicine specialist in Clayton, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kaplan performed 1,782 Medicare services across 1,288 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kaplan received a total of $6,867 from 47 pharmaceutical and/or device companies across 426 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kaplan is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 12% volume in CA $6,867 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,782
Medicare services
Top 12% in CA for family medicine
1,288
Unique beneficiaries
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~94 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
625 $76 $359
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
323 $157 $362
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
227 $100 $369
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
198 $50 $266
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
83 $60 $273
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
70 $37 $67
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
61 $76 $170
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
48 $12 $70
Annual depression screening 45 $24 $69
Initial preventive physical examination, new Medicare beneficiary
A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care.
24 $196 $504
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
22 $147 $470
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
16 $37 $67
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
15 $198 $528
Pneumococcal conjugate vaccine (PCV20)
An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria.
13 $283 $726
Routine 12-lead ECG screening
A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report.
12 $7 $50
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,867
Total received (2018-2024)
Avg $981/year across 7 years
Top 6% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
426
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,867 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$552
2023
$558
2022
$586
2021
$1,648
2020
$1,510
2019
$920
2018
$1,093

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$177
ABBVIE INC.
$106
Verity Pharmaceuticals Inc.
$84
GlaxoSmithKline, LLC.
$48
ViiV Healthcare Company
$30
Exact Sciences Corporation
$24
Novo Nordisk Inc
$22
Lilly USA, LLC
$21
Astellas Pharma US Inc
$20
Antares Pharma, Inc.
$18
Top 3 companies account for 66.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$929
PFIZER INC.
$622
ABBVIE INC.
$514
Amarin Pharma Inc.
$428
AbbVie Inc.
$421
Novo Nordisk Inc
$403
Antares Pharma, Inc.
$371
Boehringer Ingelheim Pharmaceuticals, Inc.
$325
Lilly USA, LLC
$319
Biohaven Pharmaceuticals, Inc.
$249
Allergan, Inc.
$187
Bausch Health US, LLC
$184
GlaxoSmithKline, LLC.
$177
Biohaven Pharmaceutical Holding Company Ltd.
$158
Amgen Inc.
$140
Merck Sharp & Dohme Corporation
$123
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$120
Eisai Inc.
$108
Janssen Pharmaceuticals, Inc
$88
Verity Pharmaceuticals Inc.
$84
Exact Sciences Corporation
$72
Synergy Pharmaceuticals Inc
$71
SANOFI-AVENTIS U.S. LLC
$55
Acerus Pharmaceuticals Corporation
$55
Takeda Pharmaceuticals U.S.A., Inc.
$52
Astellas Pharma US Inc
$52
Ironshore Pharmaceuticals Inc.
$51
Radius Health, Inc.
$51
Teva Pharmaceuticals USA, Inc.
$49
Novartis Pharmaceuticals Corporation
$43
AbbVie, Inc.
$32
Medtronic USA, Inc.
$32
ARBOR PHARMACEUTICALS, INC.
$31
ViiV Healthcare Company
$30
Allergan Inc.
$29
Kowa Pharmaceuticals America, Inc.
$22
Tactile Systems Technology Inc
$21
Cranial Technologies, Inc
$21
Aytu BioScience, Inc
$20
Insulet Corporation
$18
Hologic, LLC
$18
Orexigen Therapeutics, Inc.
$18
Alfasigma USA, Inc.
$18
E.R. Squibb & Sons, L.L.C.
$17
AKRIMAX PHARMACEUTICALS, LLC
$15
Genentech USA, Inc.
$13
RedHill Biopharma Inc.
$12
Top 3 companies account for 30.1% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · APLENZIN · APRETUDE · Aemcolo · Aimovig · Amitiza · Androgel · Aptima Combo 2 · ArmonAir Digihaler · BASAGLAR · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · CHANTIX · COMIRNATY · CONTRAVE · CREON · Cologuard Collection Kit · Dayvigo · Doc Band · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · FARXIGA · FASENRA · FLEXITOUCH · GARDASIL 9 · HUMALOG · INTERSTIM · JANUVIA · JARDIANCE · JORNAY PM · KYPHON Balloon Kyphoplasty · LINZESS · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · NURTEC ODT · Natesto · OTREXUP · Omnipod · Otrexup · Ozempic · PNEUMOVAX 23 · PREMARIN · QULIPTA · Repatha · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Stendra · TOUJEO · TRADJENTA · TRULANCE · TRULICITY · Tlando · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · VIAGRA · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · XYOSTED · Xofluza · Zelnorm
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for family medicine in CA.

Looking for a family medicine specialist in Clayton?
Compare family medicine physicians in the Clayton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
958
Per 100K population
82.5
County median income
$125,727
Nearest hospital
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS
6.9 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kaplan is a clinical cardiology specialist, with above-average Medicare volume (top 12% in CA), with low-engagement industry engagement in the top 6% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kaplan experienced with telephone medical discussion, 21-30 minutes?
Based on Medicare claims data, Dr. Kaplan performed 625 telephone medical discussion, 21-30 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kaplan receive payments from pharmaceutical companies?
Yes. Dr. Kaplan received a total of $6,867 from 47 companies across 426 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kaplan's costs compare to other family medicine physicians in Clayton?
Dr. Kaplan's average Medicare payment per service is $90. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kaplan) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →