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Orthopedic Surgery • Rochester, NY 14642 • NPI #1447592183

Dr. Nathan Kaplan, MD

601 Elmwood Avenue, Box 665, Rochester, NY 14642 • +1-537-555-2974

Medical Education: Accredited U.S. Medical School (Class of 2014)

34 Active CMS HCPCS Codes
4.83/5
Waiting-Room Score
22 patient logs
$232.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles

NPI #1447592183 • CBSA Regional • Orthopedic Surgery

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Statistical peer benchmarking across NY Orthopedic Surgery providers positions Dr. Nathan Kaplan, MD in Rochester at -0.29σ (74.07th city percentile / 54.42th state percentile, 167 Medicare beneficiaries), with clinical focus spanning 34 Active CMS HCPCS Codes.

Granular CPT/HCPCS billing distribution at 601 Elmwood Avenue, Box 665 shows Dr. Nathan Kaplan's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 176x/yr, 74.07th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 132x/yr, $59–$80).

Uninsured and high-deductible cash patients visiting Dr. Nathan Kaplan in Rochester (14642) face an estimated $232.00 initial evaluation fee at 601 Elmwood Avenue, Box 665 (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.72/5 from 22 verified reports).

Patients evaluating Dr. Nathan Kaplan in ZIP 14642 note 12 years of post-doctoral tenure (null, 2014) alongside 15.1 annual CMS procedures per patient.

Rochester Percentile 74.07th

Compared against Rochester, NY Orthopedic Surgery peers

NY State Percentile 54.42th

2,526 annual services across 167 beneficiaries

Regional Volume Z-Score -0.288σ

Standard deviations from NY Orthopedic Surgery mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99213 Focused Orthopedic Joint & Spine Mobility Evaluation 176 74.07th $55 – $75
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 132 74.07th $59 – $80
73562 Radiologic Weight-Bearing 3-View Knee Examination 93 76.07th $33 – $48
99203 New Patient Musculoskeletal Injury & Surgical Triage 54 70.07th $79 – $108
27447 Total Knee Arthroplasty Joint Reconstruction 34 75.07th $508 – $696
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) 2,038 74.07th $62 – $90
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Dr. Nathan Kaplan, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Kaplan National Provider Identifier NPI #1447592183 (MD) CMS NPPES Registry (14642)
Dr. Kaplan Rochester CMS Volume Rank 74.07th Pct (2,526 CMS svcs; Z -0.288σ) CMS Medicare Part B (NY Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $232.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Rochester, NY)
Waiting-Room Wait Time & Cash Friendliness $232.00 avg paid • 22 min lobby wait 22 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.72/5 Listening • 4.65/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
22 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $232.00
Listens Without Rushing
4.72/5
Patient communication rating
Modern Protocol Openness
4.65/5
Preventive labs, GLP-1s & HRT
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