Dr. James L. Caplan, MD
- Medicare services, 2024
- 609
- Medicare patients, 2024
- 305
- Part D claims, 2024
- 2,231
- MIPS score, 2024
- 89
- Hospital affiliations
- 1
- Practice address
- 250 N Robertson Blvd, Beverly Hills, CA 90211
- Practice phone
- Call (310) 919-4179
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Robertson Surgical Institute
Beverly Hills, California
Find Dr. Caplan's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. James L. Caplan is a pulmonologist in Beverly Hills, California
Dr. Caplan practices at Robertson Surgical Institute in Beverly Hills, California.
Dr. Caplan's NPI, 1992717037, was assigned on August 13, 2006. Dr. Caplan graduated from Perelman School of Medicine - Philadelphia in 1976. Dr. Caplan holds California license G35694.
- NPI
- 1992717037NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3476613332
- NPI enumeration date
- August 13, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (310) 919-4179
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 76
- Medical school graduation
- 1976
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James L. Caplan practices at Robertson Surgical Institute in Beverly Hills, California
Dr. Caplan's primary practice is Robertson Surgical Institute, at 250 N Robertson Blvd, Beverly Hills, CA 90211 in Los Angeles County. The practice phone is (310) 919-4179.
- Robertson Surgical Institute250 N Robertson Blvd, Beverly Hills, CA 90211 · Los Angeles CountyPhone(310) 919-4179
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. James L. Caplan is affiliated with 3 sites of care and 1 medical group
Dr. Caplan's primary practice is Robertson Surgical Institute in Beverly Hills, California. Dr. Caplan is also affiliated with Cedars-Sinai Medical Center. The medical group on file is Cedars-Sinai Medical Group. Dmand AI also links Dr. Caplan to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. James L. Caplan's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Caplan practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Robertson Surgical Institute | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. James L. Caplan is one of 1,339 pulmonologists in California
Pulmonary disease is Dr. Caplan's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Caplan is board certified in internal medicine by the American Board of Internal Medicine. Dr. Caplan is licensed in California.
Specialties and state licenses
- Pulmonary disease, CaliforniaPrimary
Clinical focus
Dmand AI lists asthma, bronchitis, chronic lung disease, chronic obstructive pulmonary disease (COPD), chronic respiratory failure, pleural effusion, pneumonia and pulmonary fibrosis among the conditions Dr. Caplan treats.
Pulmonologists near Dr. Caplan
Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. James L. Caplan billed Medicare for 609 services in 2024
CMS data shows 609 Medicare services from Dr. Caplan across 7 procedure codes in 2024, for 305 Medicare patients. Medicare paid $66,629 for them. Every service was in an office.
Dr. Caplan's Medicare services by type, 2024
- Office and hospital visits575
- Imaging34
Dr. Caplan compared with the California median for pulmonologists, 2024
- Dr. Caplan
- California median
- Medicare services
- 609vs 6496% below
- Medicare patients
- 305vs 27212% above
- Part D claims
- 2,014vs 4214.8 times
Medians across 1,263 pulmonologists in California with Dmand AI profiles that report each measure.
Dr. Caplan's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Caplan and other pulmonologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James L. Caplan treated 305 Medicare patients in 2024, average age 74
CMS counts 305 Medicare patients who saw Dr. Caplan in 2024. The largest group is 75 to 84, with 123 patients. 75% of them have high cholesterol, and 73% have high blood pressure. 32% are also on Medicaid. Their average risk score is 1.67, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Caplan's median patient age at 69, with 57% women.
Dr. Caplan's Medicare patients by age, 2024
Dr. Caplan's Medicare patients by sex, 2024
- Women19163%
- Men11437%
Chronic conditions among Dr. Caplan's Medicare patients, 2024
- High cholesterol75%
- High blood pressure73%
- Arthritis56%
- Asthma43%
- Ischemic heart disease42%
- COPD40%
- Mood disorders35%
- Depression33%
Share of Medicare patients with each condition. A patient can have several.
Dr. Caplan's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 69
Patient panel by sex, all payers
- Women57%
- Men43%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James L. Caplan wrote 2,231 Medicare Part D claims in 2024
In 2024, Dr. Caplan wrote 2,231 Medicare Part D claims for 432 patients. 45% of them were for generic drugs. CMS names the drug for 2,014 of them, across 42 drugs with 11 or more claims each, at $894,716 in total drug cost.
Dr. Caplan's Part D claims by kind of drug, 2024
- Generic1,013 claims45%
- Brand-name1,218 claims55%
Dr. Caplan's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Caplan's Part D claims, 2024
- Antibiotics6%141 of 2,231 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. James L. Caplan scored 89 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Caplan for performance year 2024, reported as part of a group. Dr. Caplan accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Caplan as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Caplan's MIPS scores, performance year 2024
- 89of 100Final score
- 84.8of 100Quality
- 99of 100Promoting Interoperability
- 40of 100Improvement Activities
- 73of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. James L. Caplan received $463 in industry payments from 2024 to 2025
CMS Open Payments shows 21 general payments to Dr. Caplan from 8 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 100% of the total. Eli Lilly and Company paid the most, $144.
General payments to Dr. Caplan by program year, 2024 to 2025
Companies that paid Dr. Caplan the most, 2024 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. James L. Caplan has 1 award and honors on record
Dmand AI lists 1 award for Dr. Caplan, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Caplan
- 2013
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. James L. Caplan graduated from Perelman School of Medicine - Philadelphia
Dr. Caplan graduated from Perelman School of Medicine - Philadelphia in 1976. Dr. Caplan is a member of ACP.
- Medical school
- Board certified in internal medicine
- Board certified in pulmonary disease
Source: Dmand AI Professional Profile Data
Dr. James L. Caplan accepts plans from 15 insurance carriers
Dr. Caplan is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- HCSC
- Alliant Health Plans
- Blue Cross Blue Shield of Massachusetts
- Regence Health Plans
- +7 more carriersWith a free account
Plan types Dr. Caplan accepts, by number of carriers
- PPO10
- Medicare7
- HMO6
- POS5
- EPO4
Source: Dmand AI Insurance Network Data
Sources for Dr. James L. Caplan's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. James L. Caplan
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. James L. Caplan's NPI number?
Dr. James L. Caplan's NPI number is 1992717037. It was assigned on August 13, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. James L. Caplan?
Dr. James L. Caplan is a pulmonologist in Beverly Hills, California. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. James L. Caplan practice?
Dr. Caplan practices at 250 N Robertson Blvd, Beverly Hills, CA 90211. Dr. Caplan's primary practice is Robertson Surgical Institute in Beverly Hills, California. Dmand AI also links Dr. Caplan to 1 group practice or clinic.
What is Dr. James L. Caplan's office phone number?
The practice phone on file for Dr. Caplan is (310) 919-4179.
What is Dr. James L. Caplan's medical license number?
Dr. Caplan holds California license G35694.
Which hospitals is Dr. James L. Caplan affiliated with?
Dr. Caplan is affiliated with Cedars-Sinai Medical Center.
What medical group is Dr. James L. Caplan part of?
Dr. Caplan is linked to Cedars-Sinai Medical Group.
Does Dr. James L. Caplan accept Medicare?
Yes. CMS data shows Dr. Caplan billed Medicare for 609 services in 2024, and Dr. Caplan accepts Medicare assignment.
Does Dr. James L. Caplan offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Caplan as offering telehealth services.
What is Dr. James L. Caplan's MIPS score?
Dr. Caplan's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.
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How many Medicare patients does Dr. James L. Caplan see?
CMS counts 305 Medicare patients who saw Dr. Caplan in 2024, with an average age of 74.
Is Dr. James L. Caplan board certified?
Yes. Dr. Caplan is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. James L. Caplan bill to Medicare?
In 2024, Dr. Caplan's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99215) and office visit, new patient (99204).
Where did Dr. James L. Caplan go to medical school?
Dr. Caplan graduated from Perelman School of Medicine - Philadelphia in 1976.
What drugs does Dr. James L. Caplan prescribe most?
In 2024 Medicare Part D data, Dr. Caplan's most prescribed drugs by claims were Albuterol Sulfate Hfa, Spiriva Respimat and Montelukast Sodium.
Has Dr. James L. Caplan received payments from drug or device companies?
CMS Open Payments shows $463 in general payments to Dr. Caplan from 8 companies from 2024 to 2025. The largest total came from Eli Lilly and Company.
How long has Dr. James L. Caplan been practicing?
Dr. Caplan graduated from medical school in 1976, 50 years ago.
What insurance does Dr. James L. Caplan accept?
Dr. Caplan is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.
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