Medicare Enrolled

Dr. Michael Caplan, MD

Glaucoma Specialist (Ophthalmology) Physician · Houston, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
3100 WESLAYAN ST, Houston, TX 77027
7135261600
In practice since 2005 (20 years)
NPI: 1225034549 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. Caplan 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 →
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What this data tells you about Dr. Caplan

Dr. Michael Caplan is a glaucoma specialist (ophthalmology) physician in Houston, TX, with 20 years in practice. Based on federal Medicare data, Dr. Caplan performed 1,501 Medicare services across 961 unique beneficiaries.

Between the years covered by Open Payments, Dr. Caplan received a total of $9,205 from 20 pharmaceutical and/or device companies across 90 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in glaucoma specialist (ophthalmology) physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Caplan is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ 1,501 Medicare services$ $9,205 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,501
Medicare services
Bottom 33% in TX for glaucoma specialist (ophthalmology) physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
961
Unique beneficiaries
$130
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~75 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.

ProcedureVolumeAvg. paidAvg. submitted
Corneal topography and eye depth measurement588$19$69
Cataract surgery with lens implant310$440$1,795
Office visit, established patient (30-39 min)254$89$140
Office visit, established patient (20-29 min)100$55$100
New patient office visit (45-59 min)73$116$180
Retinal imaging (OCT scan)55$30$100
Visual field test, extended49$40$120
Optic nerve imaging (OCT scan)39$27$100
Removal of recurring cataract in lens capsule using a laser19$265$536
Ct scan of cornea14$29$68
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.
20.7% high complexity
7.2% medium
72.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$9,205
Total received (2018-2024)
Avg $1,315/year across 7 years
Top 20% in TX for glaucoma specialist (ophthalmology) physician
20
Companies
90
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$6,218 (67.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,987 (32.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$661
2023
$4,816
2022
$2,503
2021
$175
2020
$88
2019
$463
2018
$501

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$6,606
Johnson & Johnson Surgical Vision, Inc.
$388
Glaukos Corporation
$318
Carl Zeiss Meditec USA, Inc.
$317
Allergan Inc.
$313
Carl Zeiss Meditec, Inc.
$276
ABBVIE INC.
$216
Bausch & Lomb Americas Inc.
$162
AbbVie Inc.
$130
RxSight Inc
$129
Alcon Laboratories Inc
$68
Shire North American Group Inc
$64
BIOTISSUE HOLDINGS INC.
$44
Novartis Pharmaceuticals Corporation
$42
Sun Pharmaceutical Industries Inc.
$40
Bausch & Lomb, a division of Bausch Health US, LLC
$21
Aerie Pharmaceuticals, Inc.
$21
Allergan, Inc.
$19
Oyster Point Pharma, Inc.
$17
EyePoint Pharmaceuticals US, Inc.
$14
Top 3 companies account for 79.4% of total payments
Associated products mentioned in payments ›
ALPHAGAN P · ARGOS · AcrySof IQ PanOptix UV IOL · AcrySof UltraSert · BROMSITE · CEQUA · CIRRUS HD-OCT · COMBIGAN · Catalys Laser System · Centurion · Clareon · DEXYCU · DUREZOL · ENVISTA · Humphrey HFA · IC-8 Apthera IOL · IDESIGN RS · IOLMaster · IOLMaster 700 · LUMIGAN · MEL 80 · NGENUITY · OPMI Lumera · PanOptix · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · Rocklatan · Simbrinza · TECNIS IOL · TYRVAYA · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Symfony IOL · Tecnis iTec Preloaded Delivery System · VUITY · VYZULTA · VisuMax · XIIDRA · iDose · rocklatan
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 →

The majority of payments (68%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $613 per 100 Medicare services performed
Looking for a glaucoma specialist (ophthalmology) physician in Houston?
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Geographic Context

Glaucoma Specialist (Ophthalmology) Physicians within 10 mi
8
Per 100K population
0.2
County median income
$73,104
Nearest hospital
BEHAVIORAL HOSPITAL OF BELLAIRE
2.7 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Caplan is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (consulting-driven, top 20%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Caplan experienced with corneal topography and eye depth measurement?
Based on Medicare claims data, Dr. Caplan performed 588 corneal topography and eye depth measurement 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. Caplan receive payments from pharmaceutical companies?
Yes. Dr. Caplan received a total of $9,205 from 20 companies across 90 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. Caplan's costs compare to other glaucoma specialist (ophthalmology) physicians in Houston?
Dr. Caplan's average Medicare payment per service is $130. 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. Caplan) 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. The Transparency Score measures 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 →