Dr. Michael Alan Caplan , MD
Internal Medicine • Danville, VA
125 Executive Dr, Suite H
Danville, VA 245414155
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michael Caplan is listed in NPPES under Internal Medicine.
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NPI assigned on June 5, 2006; this date does not establish years in practice.
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Published CMS data list 726 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 93005 — Routine electrocardiogram (ecg) using at least 12 leads with tracing: 171 service units.
- 99490 — Chronic care management services: 154 service units.
- 99439 — Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month: 143 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 17,004 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amlodipine Besylate — 1,116 prescription fills, including refills.
- Atorvastatin Calcium — 1,101 prescription fills, including refills.
- Losartan Potassium — 920 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 185 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Danville, VA (2024, 31 clinicians with data). Median for this group: 632. Middle half: 239 to 1,041.
Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: 748. Middle half: 335 to 1,431.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 4,901 in 2020 to 726 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
125 Executive Dr
Suite H
Danville, VA 245414155
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
259 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $28,520 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $21,463 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
40,954 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,753,954 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $118.80 across 7 records.
By nature of payment
- Food and Beverage: $118.80 across 7 records.
Reporting-company totals (3 largest of 6)
- Corcept Therapeutics: $37.41 across 2 records.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $18.46 across 1 record.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $16.35 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Caplan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Caplan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Danville and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Danville, VA (2024, 31 clinicians with data). Median for this group: 632. Middle half: 239 to 1,041.
Close to the middle for clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: 748. Middle half: 335 to 1,431.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Danville, VA (2024, 31 clinicians with data). Median for this group: $63,847. Middle half: $27,980 to $88,191.
A lower Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: $73,309. Middle half: $32,676 to $134,131.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Internal Medicine in Danville, VA (2024, 31 clinicians with data). Median for this group: $49,940. Middle half: $21,282 to $69,980.
A lower Medicare payment amount than 75% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: $56,392. Middle half: $24,672 to $102,762.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Internal Medicine in Danville, VA (2024, 31 clinicians with data). Median for this group: 231. Middle half: 51 to 3,175.
More Part D prescriptions than 95% of clinicians listed under Internal Medicine in Virginia (2024, 2,088 clinicians with data). Median for this group: 684. Middle half: 116 to 4,028.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Internal Medicine in Danville, VA (2024, 31 clinicians with data). Median for this group: $8,434. Middle half: $722 to $293,477.
A higher Part D drug cost than 95% of clinicians listed under Internal Medicine in Virginia (2024, 2,088 clinicians with data). Median for this group: $49,170. Middle half: $2,703 to $324,085.
75 active clinicians are listed under Internal Medicine with a practice address in Danville, VA (3,603 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Danville
1.3% of these 75 clinicians have the CMS telehealth indicator.
45.3% of these 75 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 85% from 4,901 in 2020 to 726 in 2024.
- 2020: 4,901
- 2021: 4,214
- 2022: 4,286
- 2023: 4,626
- 2024: 726
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Medicare-allowed amount
Medicare-allowed amount decreased 88% from $247,077 in 2020 to $28,520 in 2024.
- 2020: $247,077
- 2021: $151,114
- 2022: $231,932
- 2023: $278,639
- 2024: $28,520
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Paid by Medicare
Paid by Medicare decreased 89% from $186,805 in 2020 to $21,463 in 2024.
- 2020: $186,805
- 2021: $90,467
- 2022: $173,045
- 2023: $213,754
- 2024: $21,463
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 17,342 in 2020 and 17,004 in 2024.
- 2020: 17,342
- 2021: 16,307
- 2022: 15,520
- 2023: 14,784
- 2024: 17,004
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30-day fills
30-day fills increased 11% from 36,975 in 2020 to 40,954 in 2024.
- 2020: 36,975
- 2021: 36,046
- 2022: 35,630
- 2023: 35,927
- 2024: 40,954
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Part D drug cost
Part D drug cost increased 26% from $1,389,329 in 2020 to $1,753,954 in 2024.
- 2020: $1,389,329
- 2021: $1,454,580
- 2022: $1,501,202
- 2023: $1,719,273
- 2024: $1,753,954
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 91% from $1,393.30 in 2021 to $118.80 in 2025.
- 2021: $1,393.30
- 2022: $1,017.02
- 2023: $715.08
- 2024: $687.32
- 2025: $118.80
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $118.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $18.71 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $18.70 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $18.46 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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XIFAXAN | General | $16.35 |
| Paratek Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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NUZYRA | General | $15.96 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $15.92 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $14.70 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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171 | 162 | $61.00 | $6.03 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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154 | 19 | $127.27 | $60.45 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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143 | 18 | $74.91 | $46.23 |
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99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
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130 | 27 | $110.81 | $45.55 |
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99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
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56 | 25 | $99.80 | $47.29 |
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82270
Stool analysis for blood to screen for colon tumors
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27 | 27 | $22.00 | $4.29 |
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36415
Insertion of needle into vein for collection of blood sample
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17 | 17 | $14.00 | $8.65 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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17 | 17 | $228.00 | $116.39 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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11 | 11 | $146.48 | $68.88 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 1,116 | 90,178 | $5,699.51 | 294 |
| Atorvastatin Calcium | Atorvastatin Calcium | 1,101 | 91,531 | $10,162.16 | 302 |
| Losartan Potassium | Losartan Potassium | 920 | 74,743 | $10,501.38 | 235 |
| Levothyroxine Sodium | Levothyroxine Sodium | 532 | 45,449 | $3,805.70 | 137 |
| Metoprolol Succinate | Metoprolol Succinate | 489 | 40,422 | $6,136.57 | 142 |
| Metformin Hcl | Metformin Hcl | 480 | 39,056 | $2,361.38 | 139 |
| Omeprazole | Omeprazole | 459 | 38,900 | $6,169.45 | 131 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 451 | 37,060 | $5,762.83 | 125 |
| Hydrochlorothiazide | Hydrochlorothiazide | 423 | 35,171 | $1,274.96 | 113 |
| Ezetimibe | Ezetimibe | 422 | 35,425 | $15,694.90 | 123 |
| Simvastatin | Simvastatin | 384 | 32,898 | $3,003.00 | 104 |
| Pantoprazole Sodium | Pantoprazole Sodium | 362 | 30,305 | $4,581.89 | 109 |
| Tamsulosin Hcl | Tamsulosin Hcl | 267 | 19,537 | $3,054.29 | 76 |
| Gabapentin | Gabapentin | 247 | 8,899 | $1,801.52 | 49 |
| Spironolactone | Spironolactone | 229 | 18,165 | $1,866.76 | 70 |
| Montelukast Sodium | Montelukast Sodium | 203 | 15,180 | $1,867.02 | 52 |
| Eliquis | Apixaban | 196 | 8,450 | $162,697.03 | 36 |
| Escitalopram Oxalate | Escitalopram Oxalate | 189 | 14,312 | $2,580.07 | 53 |
| Ozempic | Semaglutide | 183 | 6,956 | $223,914.66 | 34 |
| Pravastatin Sodium | Pravastatin Sodium | 171 | 14,035 | $2,691.34 | 42 |
| Allopurinol | Allopurinol | 169 | 13,380 | $1,135.33 | 41 |
| Lisinopril | Lisinopril | 168 | 14,036 | $920.26 | 49 |
| Trulicity | Dulaglutide | 162 | 6,198 | $202,331.58 | 25 |
| Trazodone Hcl | Trazodone Hcl | 160 | 11,530 | $1,230.57 | 54 |
| Farxiga | Dapagliflozin Propanediol | 160 | 7,235 | $127,021.90 | 35 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-07-27NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20070511000352
VA
0244336089
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Primary Care
Registered Nurse, Bachelor of Science in Nursing, Master of Science in Nursing, Master of Business Administration, Nurse Practitioner (Certified)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated June 05, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Danville
- Dr. Faryal Mirza, MD
- Dr. Buddy Stokes, DO
- Dr. Angeli Niravel, DO
- Dr. Mauricio Arrien, MD
- Dr. Ali Saeed, MD
- Dr. Sheranda Gunn-Nolan, DO
Mailing Address
125 Executive Dr, Suite H
Danville, VA 245414155
Phone: 4347911345