Dr. Michael Bernard Caplan, MD
- Medicare services, 2024
- 1,569
- Medicare patients, 2024
- 476
- Part D claims, 2024
- 3,928
- Publications
- 4
- MIPS score, 2024
- 90
- Practice address
- 3100 Weslayan Suite 400, Houston, TX 77027
- Practice phone
- Call (713) 526-1600
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Caplan Surgery Center
Surgery Center - Medicare-Certified · Houston, Texas
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. Michael Bernard Caplan is an ophthalmologist in Houston, Texas
Dr. Caplan practices at Caplan Surgery Center in Houston, Texas.
Dr. Caplan's NPI, 1225034549, was assigned on June 22, 2005. Dr. Caplan graduated from Baylor College Of Medicine in 1985. Dr. Caplan holds Texas license H0230.
- NPI
- 1225034549NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9335137405
- NPI enumeration date
- June 22, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (713) 526-1600
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 67
- Medical school graduation
- 1985
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Michael Bernard Caplan practices at Caplan Surgery Center in Houston, Texas
Dr. Caplan's primary practice is Caplan Surgery Center, at 3100 Weslayan Suite 400, Houston, TX 77027. The practice phone is (713) 526-1600.
- Caplan Surgery Center3100 Weslayan Suite 400, Houston, TX 77027Phone(713) 526-1600
Source: Dmand AI Affiliation Data
Dr. Michael Bernard Caplan is affiliated with 1 site of care and 1 medical group
Dr. Caplan's primary practice is Caplan Surgery Center in Houston, Texas. Dmand AI also links Dr. Caplan to 1 medical group, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Michael Bernard Caplan's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Caplan practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Caplan Surgery Center | Available with a free account |
| +1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Michael Bernard Caplan is one of 1,311 ophthalmologists in Texas
Ophthalmology is Dr. Caplan's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Caplan is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Caplan's licenses on file in 2 states: Texas and Georgia.
Specialties and state licenses
- Ophthalmology, TexasPrimary
- Georgia license
Clinical focus
Dmand AI lists cataract, cataract surgery with lens implant, conjunctivitis, dry eye, eye infection or inflammation, eyelid inflammation, glaucoma and glaucoma surgery among the conditions Dr. Caplan treats.
Ophthalmologists near Dr. Caplan
Counts of ophthalmologists 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. Michael Bernard Caplan billed Medicare for 1,569 services in 2024
CMS data shows 1,569 Medicare services from Dr. Caplan across 10 procedure codes in 2024, for 476 Medicare patients. Medicare paid $209,783 for them.
Dr. Caplan's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 7452024: 7193%
- Surgery
- 2023: 4022024: 45112%
- Office and hospital visits
- 2023: 4272024: 3997%
Where Dr. Caplan's Medicare services took place, 2024
- In an office1,14973%
- In a facility42027%
Dr. Caplan compared with the Texas median for ophthalmologists, 2024
- Dr. Caplan
- Texas median
- Medicare services
- 1,569vs 1,35316% above
- Medicare patients
- 476vs 492Close to median
- Part D claims
- 3,859vs 6136.3 times
Medians across 1,290 ophthalmologists in Texas 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.
Need commercial claims for Dr. Caplan?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Caplan and other ophthalmologists in Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Michael Bernard Caplan treated 476 Medicare patients in 2024, average age 74
CMS counts 476 Medicare patients who saw Dr. Caplan in 2024. The largest group is 65 to 74, with 250 patients. 75% of them have high cholesterol, and 72% have high blood pressure. 5% are also on Medicaid. Their average risk score is 0.97, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Caplan's median patient age at 74, with 55% women.
Dr. Caplan's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Caplan's Medicare patients by sex, 2024
- Women27357%
- Men20343%
Chronic conditions among Dr. Caplan's Medicare patients, 2024
- High cholesterol75%
- High blood pressure72%
- Arthritis38%
- Ischemic heart disease28%
- Diabetes25%
- Chronic kidney disease16%
- Osteoporosis16%
- Anxiety15%
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 74
Patient panel by sex, all payers
- Women55%
- Men43%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Michael Bernard Caplan wrote 3,928 Medicare Part D claims in 2024
In 2024, Dr. Caplan wrote 3,928 Medicare Part D claims for 1,006 patients. 49% of them were for generic drugs. CMS names the drug for 3,859 of them, across 21 drugs with 11 or more claims each, at $213,880 in total drug cost. In 2023, CMS named 4,555 claims across 21 drugs.
Dr. Caplan's Part D claims by kind of drug, 2024
- Generic1,911 claims49%
- Brand-name2,017 claims51%
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.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4,5552024: 3,85915%
Drugs named by CMS: 21 in 2024, 21 in 2023.
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. Michael Bernard Caplan scored 90 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 90 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 counts 308 procedures of cataract surgery by Dr. Caplan, more than 90% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Caplan's MIPS scores, performance year 2024
- 90of 100Final score
- 81.5of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Caplan ranks in Medicare procedure volume
- Cataract surgery
- 90th percentile308 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Michael Bernard Caplan has 4 publications on record
Dmand AI links 4 papers to Dr. Caplan, published from 2020 to 2024. The most frequent topics are Lenses, Intraocular, Lens Implantation, Intraocular and Postoperative Complications. Dr. Caplan's most frequent co-authors are Robert J. Cionni, MD, Erin Andrew Doe, MD and Bret L. Fisher, MD.
Topics Dr. Caplan writes about most
- Lenses, Intraocular
- Lens Implantation, Intraocular
- Postoperative Complications
- Visual Acuity
Dr. Caplan's most frequent co-authors
Recent publications by Dr. Caplan
J Cataract Refract Surg
See who Dr. Caplan researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Caplan works with, so you can find a warm path to the right ophthalmologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Michael Bernard Caplan received $11,711 in industry payments from 2016 to 2025
CMS Open Payments shows 137 general payments to Dr. Caplan from 23 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 49% of the total. Alcon Laboratories Inc paid the most, $7,314.
General payments to Dr. Caplan by program year, 2016 to 2025
General payments to Dr. Caplan by kind, 2016 to 2025
- Food and beverage$5,74149%
- Consulting fees$4,72540%
- Travel and lodging$7066%
- Gifts$5004%
- Honoraria$390%
Companies that paid Dr. Caplan the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Michael Bernard Caplan has 3 awards and honors on record
Dmand AI lists 3 awards for Dr. Caplan, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Caplan
- 2013
- CMS Stage 1 EHR
- 2012
- ACS Fellow
- Undated
- AAO Fellow
Source: Dmand AI Professional Profile Data
Dr. Michael Bernard Caplan graduated from Baylor College Of Medicine
Dr. Caplan graduated from Baylor College Of Medicine in 1985. Dr. Caplan is a member of AAO and ACS.
- Medical school
- Board certified in ophthalmology
Source: Dmand AI Professional Profile Data
Dr. Michael Bernard Caplan accepts plans from 22 insurance carriers
Dr. Caplan is in network with 22 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 14. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Blue Cross Blue Shield of Michigan
- HCSC
- Blue Cross Blue Shield of Massachusetts
- Cigna
- Elevance
- Humana
- +14 more carriersWith a free account
Plan types Dr. Caplan accepts, by number of carriers
- HMO14
- PPO13
- Medicare10
- POS6
- EPO4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Michael Bernard 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 | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy 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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| 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. Michael Bernard 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. Michael Bernard Caplan's NPI number?
Dr. Michael Bernard Caplan's NPI number is 1225034549. It was assigned on June 22, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Michael Bernard Caplan?
Dr. Michael Bernard Caplan is an ophthalmologist in Houston, Texas. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Michael Bernard Caplan practice?
Dr. Caplan practices at 3100 Weslayan Suite 400, Houston, TX 77027. Dr. Caplan's primary practice is Caplan Surgery Center in Houston, Texas. Dmand AI also links Dr. Caplan to 1 medical group.
What is Dr. Michael Bernard Caplan's office phone number?
The practice phone on file for Dr. Caplan is (713) 526-1600.
What is Dr. Michael Bernard Caplan's medical license number?
Dr. Caplan holds Texas license H0230, one of the licenses on file in 2 states.
Which states has Dr. Michael Bernard Caplan been licensed in?
Dmand AI has state licenses on file for Dr. Caplan in Texas (1986 to 2026) and Georgia (1990 to 1991).
Does Dr. Michael Bernard Caplan accept Medicare?
Yes. CMS data shows Dr. Caplan billed Medicare for 1,569 services in 2024, and Dr. Caplan accepts Medicare assignment.
What is Dr. Michael Bernard Caplan's MIPS score?
Dr. Caplan's MIPS final score for performance year 2024 is 90 out of 100, reported as part of a group.
How many Medicare patients does Dr. Michael Bernard Caplan see?
CMS counts 476 Medicare patients who saw Dr. Caplan in 2024, with an average age of 74.
Is Dr. Michael Bernard Caplan board certified?
Yes. Dr. Caplan is board certified in ophthalmology by the American Board of Ophthalmology.
Show 8 more questionsShow fewer questions
What services does Dr. Michael Bernard Caplan bill to Medicare?
In 2024, Dr. Caplan's most billed Medicare services were eye exam or test (92136), surgery: eye (66984) and office visit, established patient (99214).
Where did Dr. Michael Bernard Caplan go to medical school?
Dr. Caplan graduated from Baylor College Of Medicine in 1985.
What drugs does Dr. Michael Bernard Caplan prescribe most?
In 2024 Medicare Part D data, Dr. Caplan's most prescribed drugs by claims were Prednisolone Acetate, Ciprofloxacin HCl and Ketorolac Tromethamine.
Has Dr. Michael Bernard Caplan received payments from drug or device companies?
CMS Open Payments shows $11,711 in general payments to Dr. Caplan from 23 companies from 2016 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Michael Bernard Caplan been practicing?
Dr. Caplan graduated from medical school in 1985, 41 years ago.
Does Dr. Michael Bernard Caplan do research?
Dmand AI links 4 publications to Dr. Caplan, published from 2020 to 2024.
Who does Dr. Michael Bernard Caplan publish with?
Dr. Caplan's most frequent co-authors are Robert J. Cionni, MD (1 shared paper), Erin Andrew Doe, MD (1 shared paper) and Bret L. Fisher, MD (1 shared paper).
What insurance does Dr. Michael Bernard Caplan accept?
Dr. Caplan is in network with 22 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 14. Check the plan with the practice before a visit.
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