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Edit this profileAt a glance
- 204 Hospital Ave, Du Bois, PA 15801
About Benjamin Caplan
Benjamin M. Caplan, PA-C is a physician assistant practicing in Du Bois, PA. According to Medicare claims data, Benjamin cared for 184 Medicare patients across 208 services. The services billed most often include subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes, initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, and hospital discharge day management, 30 minutes or less. This provider record is associated with NPI 1881260990.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (814) 371-2200
- Email not available
Is this your home address or personal number? Hide it
Practice Locations
204 HOSPITAL AVE
Du Bois, PA 15801
Procedures Most Often Billed to Medicare
208 services · 184 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Office visit | 99231 |
73 | More often than most peers in Physician Assistant |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
44 | More often than most peers in Physician Assistant |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
39 | More often than most peers in Physician Assistant |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
37 | As often as other peers in Physician Assistant |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
15 | As often as other peers in Physician Assistant |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 2
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other physician assistants in Du Bois 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
More connections — 8 related providers in 1 group
Class of 2021 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What kind of doctor is Benjamin M. Caplan?
Benjamin M. Caplan is a physician assistant in Du Bois, PA. That is the designation recorded for this NPI in the federal registry.
NPI registry
What is Benjamin M. Caplan's address?
Benjamin M. Caplan is listed at 204 Hospital Ave, Du Bois, PA 15801. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Benjamin M. Caplan?
The number on file is (814) 371-2200. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Benjamin M. Caplan's NPI number?
Benjamin M. Caplan's National Provider Identifier is 1881260990. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Benjamin M. Caplan train?
Benjamin M. Caplan attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
How long has Benjamin M. Caplan been practicing?
Benjamin M. Caplan has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
What procedures does Benjamin M. Caplan perform?
According to Medicare billing data, Benjamin M. Caplan the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Benjamin M. Caplan confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Benjamin M. Caplan. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.