EDWARD A CAPONE (D.O.) – Family Medicine Physician, NPI 1396749131
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for EDWARD A CAPONE (D.O.)
11528 US HIGHWAY 19
PORT RICHEY, FL 346681442
Phone: (727) 868-2151
Fax: (727) 868-8251
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $277.
Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($148).
Total Amount
$277
General + Research + Ownership
Payments
12
Total payment records
General Amount
$277
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $148 |
| Novo Nordisk Inc | $37 |
| LifeNet Health | $34 |
| PFIZER INC. | $33 |
| Otsuka America Pharmaceutical, Inc. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100301000216 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 327 | 82 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 94 | 56 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 89 | 56 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 86 | 26 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 78 | 53 | $0 |
Insurance plans in this area (ZIP 34668)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Internal Medicine | IL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL |
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