MARK A CAPPEL (MD) – Dermatology Physician, NPI 1780668657
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for MARK A CAPPEL (MD)
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone:
Type: Mailing
100 EXECUTIVE WAY STE 114
PONTE VEDRA BEACH, FL 320822713
Phone: (904) 842-3632
Fax: (877) 624-3376
Type: Mailing
4210 VALLEY RIDGE BLVD STE 113
PONTE VEDRA, FL 320815171
Phone: (855) 624-3376
Fax: (877) 624-3376
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,605.
Total Amount is formed as General ($1,605) + Research ($0) + Ownership ($0) = $1,605.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($367).
Total Amount
$1,605
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,605
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $367 |
| E.R. Squibb & Sons, L.L.C. | $260 |
| ABBVIE INC. | $249 |
| Regeneron Healthcare Solutions, Inc. | $241 |
| Dermavant Sciences, Inc. | $170 |
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: 2006-12-22
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 |
|---|---|---|---|---|
| I20061222000082 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 740 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 238 | 118 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 173 | 109 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 150 | 150 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 101 | 71 | $0 |
Insurance plans in this area (ZIP 32224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 623 | 123 |
| DERMATOLOGY | FL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 73 | 40 |
| DERMATOLOGY | FL | 88342 | Tissue or cell analysis by immunologic technique | 157 | 123 |
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