Erica Kaplan
Speech-Language Pathologist • Virginia Beach, VA
5604 Virginia Beach Blvd
Virginia Beach, VA 234625631
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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Erica Kaplan is listed in NPPES under Speech-Language Pathologist.
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NPI assigned on December 18, 2015; this date does not establish years in practice.
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Published CMS data list 142 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 92507 — Treatment of speech, language, voice, communication, and/or hearing processing disorder: 130 service units.
- 92523 — Evaluation of speech sound production with evaluation of language comprehension and expression: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 174 in 2017 to 142 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
5604 Virginia Beach Blvd
Virginia Beach, VA 234625631
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
Speech-Language Pathologist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
35 people with Original Medicare in 2019
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2019.
Medicare-allowed amount
About $12,277 in 2019
The total amount Medicare approved for these services in 2019. 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, 2019.
Paid by Medicare
About $9,204 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, 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, 2019.
NPI first issued
2015
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.
Compared with the same specialty in Virginia Beach and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Erica Kaplan are from 2019.
445 active clinicians are listed under Speech-Language Pathologist with a practice address in Virginia Beach, VA (5,016 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Virginia Beach
0.4% of these 445 clinicians have the CMS telehealth indicator.
5.6% of these 445 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 18% from 174 in 2017 to 142 in 2019.
- 2017: 174
- 2018: 529
- 2019: 142
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Medicare-allowed amount
Medicare-allowed amount decreased 29% from $17,363 in 2017 to $12,277 in 2019.
- 2017: $17,363
- 2018: $49,948
- 2019: $12,277
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Paid by Medicare
Paid by Medicare decreased 31% from $13,424 in 2017 to $9,204 in 2019.
- 2017: $13,424
- 2018: $39,219
- 2019: $9,204
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 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, 2017–2019; 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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92507
Treatment of speech, language, voice, communication, and/or hearing processing disorder
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130 | 16 | $100.00 | $77.83 |
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92523
Evaluation of speech sound production with evaluation of language comprehension and expression
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12 | 12 | $225.00 | $179.92 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 235Z00000X
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Occupational Therapist - Pediatrics
Occupational Therapist Registered & Licensed
Physical Therapist
Physical Therapist
Physical Therapist
Doctor of Physical Therapy
Physical Therapist
Doctor of Physical Therapy
Occupational Therapist
Occupational Therapist Registered, L
Physical Therapist
Career & Practice History
NPI enumerated December 18, 2015.
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 November 2026.
NPI Administrative Meta
Other Speech-Language Pathologists in Virginia Beach
- Samantha Fuerstenberg
- Laura Lancaster, CCC-SLP
- Jeffrey Dear
- Megan Shifter
- Michael Mascolo, SLP
- Jennifer Hethcock, MS, CCC-SLP
Mailing Address
4833 Eastwind Rd
Virginia Beach, VA 234643144
Phone: 4132625582