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Edit this profileSeth A. Kaplan, M.D. is a healthcare provider in Raleigh, NC specializing in gastroenterology. Medicare claims data shows Seth provided 951 services to 644 patients. The services billed most often include pathology examination of tissue using a microscope, intermediate complexity, biopsy of large bowel using a flexible endoscope, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. This provider record is associated with NPI 1518968775.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
3100 BLUE RIDGE RD SUITE 300
Raleigh, NC 27612
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.
Most searched conditions
Biliary and pancreas
Colon and anorectal
Esophagus and swallowing
Functional bowel and motility
Liver
Stomach and duodenum
Bowel & Colon
Digestive Symptoms
Gallbladder & Bile Ducts
Most searched procedures
Lower endoscopy
Upper endoscopy
Capsule and physiology testing
Diagnostic Testing
Liver procedures
Treatments
951 services · 644 patients · 12 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Biopsy of large bowel using a flexible endoscope | Procedure | 45380 |
110 | More often than most peers in Gastroenterology |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Procedure | 45385 |
68 | As often as other peers in Gastroenterology |
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
63 | More often than most peers in Gastroenterology |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43239 |
29 | Less often than most peers in Gastroenterology |
| Measurement of hydrogen in breath to test for stomach and bowel symptoms | Treatment | 91065 |
29 | As often as other peers in Gastroenterology |
| Pathology examination of tissue using a microscope, intermediate complexity | Lab test | 88305 |
421 | More often than most peers in Gastroenterology |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
80 | More 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 |
55 | As often as other peers in Gastroenterology |
| Magnesium level | Lab test | 83735 |
35 | Too few peers to compare |
| Cyanocobalamin (vitamin b-12) level | Lab test | 82607 |
35 | 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.
Seth A. Kaplan is a gastroenterologist in Raleigh, NC. That is the designation recorded for this NPI in the federal registry, where it is listed as “Gastroenterology”.
NPI registry
Seth A. Kaplan is listed at 3100 Blue Ridge Rd Suite 300, Raleigh, NC 27612. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (919) 781-7500. Contact the office directly to confirm availability and scheduling.
NPI registry
Seth A. Kaplan's National Provider Identifier is 1518968775. 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
Seth A. Kaplan has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
According to Medicare billing data, Seth A. Kaplan performs procedures including biopsy of large bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare and insertion of needle into vein for collection of blood sample; provides treatments such as measurement of hydrogen in breath to test for stomach and bowel symptoms, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Seth A. Kaplan. If this is you, claiming it is free.
Guide.md
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