Physician Profile
Irina Kaplounova, M.D.
Unclaimed ProfileAbout Dr. Kaplounova
Irina Kaplounova, M.D. practices gastroenterology in Englewood, NJ. According to Medicare claims data, Irina cared for 707 Medicare patients across 805 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, and removal of polyps or growths of large bowel using an endoscope with mechanical snare. The provider's National Provider Identifier (NPI) is 1548487432.
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
- (201) 569-7044
- Email not available
Practice Locations
420 GRAND AVE
Englewood, NJ 07631
Conditions Commonly Evaluated or Treated
Within Gastroenterology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
- Acid reflux
- Celiac disease
- Crohn's disease
- Hemorrhoids
- IBS
- Swallowing difficulties
- Ulcerative colitis
Biliary and pancreas
Colon and anorectal
Esophagus and swallowing
Functional bowel and motility
Liver
- Ascites
- Autoimmune hepatitis
- Cirrhosis
- Fatty liver disease
- Hemochromatosis
- Hepatitis B
- Hepatitis C
- Portal hypertension
Stomach and duodenum
Bowel & Colon
Digestive Symptoms
Gallbladder & Bile Ducts
Procedures & services
Most searched procedures
Lower endoscopy
Upper endoscopy
Capsule and physiology testing
Diagnostic Testing
Liver procedures
Treatments
Procedures Most Often Billed to Medicare
805 services · 707 patients · 13 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Procedure | 45385 |
98 | More often than most peers in Gastroenterology |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43239 |
93 | More often than most peers in Gastroenterology |
| Biopsy of large bowel using a flexible endoscope | Procedure | 45380 |
75 | More often than most peers in Gastroenterology |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43235 |
12 | Less often than most peers in Gastroenterology |
| Diagnostic exam of large bowel using a flexible endoscope | Procedure | 45378 |
11 | Less often than most peers in Gastroenterology |
| Ultrasound scan of organ tissue for measuring elasticity | Imaging | 76981 |
13 | Less often than most peers in Gastroenterology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
163 | More often than most peers in Gastroenterology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
122 | More often than most peers in Gastroenterology |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
65 | More often than most peers in Gastroenterology |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
61 | More often than most peers in Gastroenterology |
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.
Other gastroenterologists at this location 5
Same specialty, same street address — most likely the same department or group.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other gastroenterologists in Englewood 3
Same specialty, same city.
More connections — 24 related providers in 3 groups
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 1999 at Other 8
Providers who graduated from the same medical school in the same year.
Also performs Removal of polyps or growths of large bowel using an endoscope with mechanical snare 8
Providers in NJ who bill this service to Medicare most often.
Common questions
What does Irina Kaplounova specialize in?
Irina Kaplounova is a gastroenterologist in Englewood, NJ. That is the designation recorded for this NPI in the federal registry, where it is listed as “Gastroenterology”.
NPI registry
Where is Irina Kaplounova located?
Irina Kaplounova is listed at 420 Grand Ave, Englewood, NJ 07631. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Irina Kaplounova's phone number?
The number on file is (201) 569-7044. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Irina Kaplounova's NPI number?
Irina Kaplounova's National Provider Identifier is 1548487432. 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 Irina Kaplounova train?
Irina Kaplounova attended Other, graduating in 1999. This comes from the CMS National Downloadable File.
CMS public data
How long has Irina Kaplounova been practicing?
Irina Kaplounova has 27 years experience. Calculated from a graduation year of 1999, reported in the CMS National Downloadable File.
CMS public data
What does Irina Kaplounova do most often?
According to Medicare billing data, Irina Kaplounova performs procedures including removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope and biopsy of large bowel using a flexible endoscope; reads or performs imaging such as ultrasound scan of organ tissue for measuring elasticity, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Irina Kaplounova confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Irina Kaplounova. If this is you, claiming it is free.
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