Dr. Michael Bernard Caplan, MD

  • Houston, TX
  • Ophthalmologist
NPI1225034549PAC ID9335137405
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
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Personal email
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Mobile number
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Social profiles

Primary practice

Caplan Surgery Center

Surgery Center - Medicare-Certified · Houston, Texas

See all 2 affiliations

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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 and contact details
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
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Mobile number
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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 Center
    3100 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.

Caplan Surgery CenterSurgery Center - Medicare-Certified · Houston, TexasPrimary
1 medical groupName with a free accountParent health systemName with a free account
See all 2 affiliations for Dr. Caplan

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.

EHR by site
SiteEHR vendor and product
Caplan Surgery CenterAvailable with a free account
+1 medical groupAvailable 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, TexasPrimaryLicense H0230 · 1986 to 2026 · taxonomy 207W00000X
  • Georgia license1990 to 1991

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.

Medicare services, 20241,569
Medicare patients476
Paid by Medicare$209,783
Procedure codes10

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.

See all procedures by Dr. Caplan

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.

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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.

Medicare patients, 2024476
Average age74
Average risk score0.97
Also on Medicaid5%

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

  1. High cholesterol75%
  2. High blood pressure72%
  3. Arthritis38%
  4. Ischemic heart disease28%
  5. Diabetes25%
  6. Chronic kidney disease16%
  7. Osteoporosis16%
  8. 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.

Part D claims, 20243,928
Drugs named by CMS21
Total drug cost$213,880
Part D patients1,006

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.

See all prescribing by Dr. Caplan

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.

Papers4
Years published2020 to 2024

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

See all 4 publications and co-authors

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.

How network discovery works

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

$11.7Kin total
  • 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.

See all payments to Dr. Caplan

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

  1. 2013
    • CMS Stage 1 EHR
  2. 2012
    • ACS Fellow
  3. 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.

  1. Medical schoolBaylor College Of Medicine
  2. Board certified in ophthalmologyAmerican Board of 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.

Plan types Dr. Caplan accepts, by number of carriers

  1. HMO14
  2. PPO13
  3. Medicare10
  4. POS6
  5. EPO4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael Bernard Caplan's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors 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-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand 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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