Provider profile

Avrom CaplanMD

Dermatology

CMS lists a Medicare opt-outNPI 1811332646
240 E 38th St Fl 12, New York, NY 10016212-263-5015

Check your plan

Medicare Advantage plans for New York County, NY.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 55 Medicare Advantage plans we show for New York County, NY in 2027

  • 30 list Avrom
  • 25 not listed

UnitedHealthcare

7 plans list Avrom.

7plans
  • AARP Medicare Advantage from UHC NY-0012 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH3418-001-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3379-060-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC NY-0005 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3379-001-000Medicare.gov
    $91a month
  • UHC Dual Complete NY-Q001 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage4 starsH3387-015-002Medicare.gov
    $0a month

Wellcare

6 plans list Avrom; not listed on 3 other plans.

6plans
  • Wellcare Fidelis Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5599-002-000Medicare.gov
    $0a month
  • Wellcare Fidelis Patriot Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3 starsH5599-010-000Medicare.gov
    $0a month
  • Wellcare Fidelis Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5599-004-000Medicare.gov
    $0a month
  • Wellcare Fidelis Dual Access (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5599-017-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield HP

5 plans list Avrom.

5plans
  • Anthem Veteran 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 240 E 38th St, New York, NY, 10016
    • 222 E 41st St, New York, NY, 10017
    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage5 starsH6988-008-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 240 E 38th St, New York, NY, 10016
    • 222 E 41st St, New York, NY, 10017
    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage5 starsH6988-009-000Medicare.gov
    $34a month
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 240 E 38th St, New York, NY, 10016
    • 222 E 41st St, New York, NY, 10017
    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH8432-040-000Medicare.gov
    $44a month
  • Anthem HealthPlus Full Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 240 E 38th St, New York, NY, 10016
    • 222 E 41st St, New York, NY, 10017
    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH8432-042-000Medicare.gov
    $40.50a month

MetroPlus Health Plan

3 plans list Avrom.

3plans
  • MetroPlus Platinum Plan (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH0423-004-000Medicare.gov
    $0a month
  • MetroPlus Advantage Plan (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH0423-001-000Medicare.gov
    $40.50a month
  • MetroPlus UltraCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH0423-007-000Medicare.gov
    $40.50a month

VillageCareMAX

3 plans list Avrom.

3plans
  • VillageCareMAX Medicare Select Advantage Plan (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH2168-004-000Medicare.gov
    $40.50a month
  • VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH2168-001-000Medicare.gov
    $40.50a month
  • VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH2168-002-000Medicare.gov
    $40.50a month

VNS Health Medicare

3 plans list Avrom.

3plans
  • VNS Health EasyCare (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5549-012-000Medicare.gov
    $25a month
  • VNS Health EasyCare Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH5549-011-000Medicare.gov
    $23.60a month
  • VNS Health Total (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH5549-003-000Medicare.gov
    $40.50a month

Hamaspik, Inc.

2 plans list Avrom.

2plans
  • Hamaspik Medicare Choice (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH0034-002-000Medicare.gov
    $26.70a month
  • Hamaspik Medicare Select (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH0034-001-000Medicare.gov
    $40.40a month

ElderServe Health

1 plan lists Avrom.

1plan
  • ElderServe MAP (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 462 1st Ave, New York, NY, 10016

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH6776-002-000Medicare.gov
    $40.50a month

Aetna Medicare

Not listed on its 6 plans here. That isn't proof they're out of network.

Elderplan

Not listed on its 2 plans here. That isn't proof they're out of network.

EmblemHealth

Not listed on its 1 plan here. That isn't proof they're out of network.

Healthfirst Medicare Plan

Not listed on its 7 plans here. That isn't proof they're out of network.

Humana

Not listed on its 4 plans here. That isn't proof they're out of network.

Senior Whole Health of New York

Not listed on its 2 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Avrom takes it. Free.

CMS lists a Medicare opt-out period

CMS's opt-out file, covering data through 2026-08-31, lists a period from 2025-05-15 until 2027-05-15. Medicare generally won't pay for services from an opted-out provider, except in emergencies. Confirm current status with the office. This is separate from Advantage plan network and office matches.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Practice location

240 E 38th St Fl 12
New York, NY 10016

NPI Registry
NPI issued
2013
Registry record updated
Jul 13, 2021

Medicare's clinician details aren't available on this page yet.

Common questions

Does Avrom Caplan accept Medicare?

CMS lists a Medicare opt-out. CMS's opt-out file, covering data through 2026-08-31, lists a period from 2025-05-15 until 2027-05-15. Medicare generally won't pay for services from an opted-out provider, except in emergencies. Confirm current status with the office. This is separate from Advantage plan network and office matches.

Which 2027 Medicare Advantage plans list Avrom Caplan?

In New York County, NY, 30 Medicare Advantage plans for 2027 list Avrom in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage from UHC NY-0012 (PPO), AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS) and AARP Medicare Advantage from UHC NY-0005 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Avrom Caplan take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Avrom on 7 Medicare Advantage plans for 2027 in New York County, NY, including AARP Medicare Advantage from UHC NY-0012 (PPO) and AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Avrom Caplan take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists Avrom on 6 Medicare Advantage plans for 2027 in New York County, NY, including Wellcare Fidelis Assist (HMO-POS) and Wellcare Fidelis Patriot Simple (HMO-POS). 3 other plans did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Does Avrom Caplan take Anthem Blue Cross and Blue Shield HP Medicare Advantage plans?

Medicare.gov provider data lists Avrom on 5 Medicare Advantage plans for 2027 in New York County, NY, including Anthem Veteran 2 (HMO-POS) and Anthem Medicare Advantage 2 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield HP before you enroll.

Where does Avrom Caplan practice?

240 E 38th St Fl 12, New York, NY 10016.

How do I confirm Avrom is in my plan's network?

Call the member services number on your plan card and give them the NPI 1811332646, or ask a Silverpath advisor to check for you. It's free.

Free · No obligation

Talk to a licensed advisor

A Silverpath advisor can confirm Avrom's networks with the carrier and help you compare plans that include them.

Free. No obligation. We never sell your information.

For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Avrom Caplan on 22 plans from Aetna Medicare, Elderplan, EmblemHealth, Healthfirst Medicare Plan, Humana and Senior Whole Health of New York in New York County, NY. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2021-07-13). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Avrom Caplan or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Are you Avrom Caplan? Talk to us about this page, or request a correction or removal.

Does Avrom take my plan?