Dr. Michael Kaplan, MD

NPI: 1124047196
Total Payments
$533,474
2024 Payments
$48.24
Companies
25
Transactions
123
Medicare Patients
3,879
Medicare Billing
$388,762

Payment Breakdown by Category

Royalty/License$518,693 (97.2%)
Other$6,900 (1.3%)
Travel$2,869 (0.5%)
Food & Beverage$2,812 (0.5%)
Consulting$2,200 (0.4%)

Payments by Nature

Nature of Payment Amount Transactions Share
Royalty or License $518,693 25 97.2%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $6,900 1 1.3%
Travel and Lodging $2,869 10 0.5%
Food and Beverage $2,812 84 0.5%
Consulting Fee $2,200 2 0.4%
Unspecified $0 1 0.0%

Payments by Type

General
$533,474
122 transactions
Ownership
$0
1 transactions

Top Paying Companies

Company Total Records Latest Year
ENCORE MEDICAL, LP $519,695 29 $0 (2023)
EMD Serono, Inc. $8,345 11 $0 (2022)
Smith+Nephew, Inc. $2,118 29 $0 (2024)
Celularity Inc. $1,855 2 $0 (2020)
KCI USA, Inc $492.98 2 $0 (2019)
Organogenesis Inc. $145.45 4 $0 (2017)
Horizon Therapeutics plc $136.74 9 $0 (2021)
DePuy Synthes Sales Inc. $136.29 8 $0 (2019)
Ferring Pharmaceuticals Inc. $125.52 7 $0 (2021)
OSSIO INC $87.57 1 $0 (2021)

Payment History by Year

Year Amount Transactions Top Company
2024 $48.24 1 Smith+Nephew, Inc. ($48.24)
2023 $24,047 6 ENCORE MEDICAL, LP ($24,032)
2022 $108,802 22 ENCORE MEDICAL, LP ($100,285)
2021 $81,694 15 ENCORE MEDICAL, LP ($81,387)
2020 $83,984 13 ENCORE MEDICAL, LP ($81,964)
2019 $86,619 24 ENCORE MEDICAL, LP ($84,612)
2018 $80,144 16 ENCORE MEDICAL, LP ($79,795)
2017 $68,135 26 ENCORE MEDICAL, LP ($67,619)

All Payment Transactions

123 individual payment records from CMS Open Payments — Page 1 of 5

Date Company Product Nature Form Amount Type
11/01/2024 Smith+Nephew, Inc. Food and Beverage In-kind items and services $48.24 General
08/29/2023 ENCORE MEDICAL, LP DJO SURGICAL (Device) Travel and Lodging In-kind items and services $527.13 General
Category: Joint Implants
08/29/2023 ENCORE MEDICAL, LP DJO SURGICAL (Device) Travel and Lodging In-kind items and services $209.58 General
Category: Joint Implants
08/28/2023 ENCORE MEDICAL, LP DJO SURGICAL (Device) Food and Beverage In-kind items and services $141.92 General
Category: Joint Implants
08/02/2023 Smith+Nephew, Inc. PICO 7 (Device) Food and Beverage In-kind items and services $15.05 General
Category: Negative Pressure Wound Therapy
03/21/2023 ENCORE MEDICAL, LP DJO SURGICAL (Device) Food and Beverage In-kind items and services $123.55 General
Category: Joint Implants
01/27/2023 ENCORE MEDICAL, LP DJO SURGICAL (Device) Royalty or License Cash or cash equivalent $23,029.73 General
Category: Joint Implants
11/16/2022 Smith+Nephew, Inc. PICO 7 (Device) Food and Beverage In-kind items and services $11.64 General
Category: Negative Pressure Wound Therapy
10/26/2022 ENCORE MEDICAL, LP DJO SURGICAL (Device) Royalty or License Cash or cash equivalent $24,562.90 General
Category: Joint Implants
10/01/2022 Vericel Corporation MACI (Biological) Food and Beverage In-kind items and services $20.88 General
Category: Orthopedics
09/20/2022 Smith+Nephew, Inc. Engage Partial Knee System (Device) Food and Beverage In-kind items and services $97.79 General
Category: Recon Knees
08/30/2022 EMD Serono, Inc. Travel and Lodging Cash or cash equivalent $69.65 General
08/30/2022 EMD Serono, Inc. Food and Beverage Cash or cash equivalent $21.00 General
08/30/2022 EMD Serono, Inc. Food and Beverage Cash or cash equivalent $17.31 General
08/19/2022 EMD Serono, Inc. Travel and Lodging Cash or cash equivalent $69.65 General
08/19/2022 EMD Serono, Inc. Food and Beverage Cash or cash equivalent $38.31 General
07/29/2022 EMD Serono, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $6,900.00 General
07/28/2022 ENCORE MEDICAL, LP DJO SURGICAL (Device) Royalty or License Cash or cash equivalent $25,638.02 General
Category: Joint Implants
06/22/2022 EMD Serono, Inc. Travel and Lodging Cash or cash equivalent $792.37 General
06/22/2022 EMD Serono, Inc. Food and Beverage Cash or cash equivalent $81.25 General
06/22/2022 EMD Serono, Inc. Food and Beverage Cash or cash equivalent $67.50 General
06/21/2022 EMD Serono, Inc. Travel and Lodging Cash or cash equivalent $174.93 General
06/21/2022 EMD Serono, Inc. Food and Beverage Cash or cash equivalent $113.50 General
05/25/2022 Smith+Nephew, Inc. PICO 7 (Device) Food and Beverage In-kind items and services $8.71 General
Category: Negative Pressure Wound Therapy
04/28/2022 ENCORE MEDICAL, LP DJO SURGICAL (Device) Royalty or License Cash or cash equivalent $24,039.36 General
Category: Joint Implants

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 10 893 4,080 $478,296 $82,022
2022 11 939 4,346 $520,153 $96,086
2021 11 1,026 5,004 $481,975 $104,327
2020 11 1,021 3,840 $567,861 $106,326
Total Patients
3,879
Total Services
17,270
Medicare Billing
$388,762
Procedure Codes
43

All Medicare Procedures & Services

43 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
27447 Replacement of knee joint, both sides of knee Facility 2023 29 29 $305,805 $30,156 9.9%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 162 217 $32,550 $15,827 48.6%
20610 Aspiration and/or injection of fluid from large joint Office 2023 129 167 $36,540 $8,987 24.6%
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg Office 2023 19 1,680 $31,920 $8,572 26.9%
73560 X-ray of knee, 1-2 views Office 2023 173 277 $36,010 $7,419 20.6%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 79 79 $19,750 $6,693 33.9%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 52 54 $5,400 $2,354 43.6%
73030 X-ray of shoulder, minimum of 2 views Office 2023 34 40 $6,600 $1,134 17.2%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2023 105 1,001 $3,528 $828.91 23.5%
J1100 Injection, dexamethasone sodium phosphate, 1 mg Office 2023 111 536 $192.96 $50.07 25.9%
27447 Replacement of knee joint, both sides of knee Facility 2022 31 32 $337,440 $35,020 10.4%
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg Office 2022 14 1,260 $23,940 $13,139 54.9%
20610 Aspiration and/or injection of fluid from large joint Office 2022 148 202 $44,730 $10,802 24.2%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 127 159 $23,850 $10,768 45.2%
73560 X-ray of knee, 1-2 views Office 2022 217 324 $42,120 $8,595 20.4%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2022 78 78 $19,500 $6,909 35.4%
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg Office 2022 15 480 $12,000 $6,420 53.5%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2022 51 57 $5,610 $2,425 43.2%
73030 X-ray of shoulder, minimum of 2 views Office 2022 36 42 $6,930 $1,019 14.7%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2022 104 1,088 $3,808 $933.44 24.5%
J1100 Injection, dexamethasone sodium phosphate, 1 mg Office 2022 118 624 $224.64 $55.42 24.7%
27447 Repair of knee joint, lower or upper part of joint, inside and outside area Facility 2021 26 27 $284,715 $29,953 10.5%
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg Office 2021 19 1,980 $37,620 $27,334 72.7%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 150 187 $28,050 $13,028 46.4%
20610 Aspiration and/or injection of large joint or joint capsule Office 2021 155 220 $49,770 $12,229 24.6%

About Dr. Michael Kaplan, MD

Dr. Michael Kaplan, MD is a Sports Medicine healthcare provider based in Middlebury, Connecticut. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/19/2006. The National Provider Identifier (NPI) number assigned to this provider is 1124047196.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Michael Kaplan, MD has received a total of $533,474 in payments from pharmaceutical and medical device companies, with $48.24 received in 2024. These payments were reported across 123 transactions from 25 companies. The most common payment nature is "Royalty or License" ($518,693).

As a Medicare-enrolled provider, Kaplan has provided services to 3,879 Medicare beneficiaries, totaling 17,270 services with total Medicare billing of $388,762. Data is available for 4 years (2020–2023), covering 43 distinct procedure/service records.

Practice Information

  • Specialty Sports Medicine
  • Location Middlebury, CT
  • Active Since 07/19/2006
  • Last Updated 02/05/2018
  • Taxonomy Code 207XX0005X
  • Entity Type Individual
  • NPI Number 1124047196

Products in Payments

  • DJO Surgical Empowr Knee System (Device) $395,378
  • DJO SURGICAL (Device) $124,317
  • Journey II BCS (Device) $321.34
  • DUEXIS (Drug) $173.15
  • Acticoat Range (Device) $164.74
  • VERILAST Hips (Device) $150.39
  • NAVIO (Device) $140.76
  • EUFLEXXA (Device) $125.52
  • Navio Surgical System (Device) $118.91
  • MONOVISC (Device) $116.31
  • Engage Partial Knee System (Device) $97.79
  • VISIONAIRE Cutting Guides (Device) $95.44
  • PREVENA (Device) $92.98
  • NuShield/NuCel (Biological) $81.37
  • Biovance (Biological) $78.00
  • PICO 7 (Device) $67.69
  • NuShield/NuCel/ReNu (Biological) $64.08
  • PICO Single Use Negative Pressure Wound Therapy (Device) $62.50
  • PICO7 (Device) $54.12
  • FAST-FIX 360 (Device) $46.52

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Sports Medicine Doctors in Middlebury