MR. ELMER JOHN CAPINA (PA) – Physician Assistant, NPI 1063408417

MR. ELMER JOHN CAPINA (PA) is a healthcare provider. based in Burr ridge, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085-002220 (IL). The NPI Number for MR. ELMER JOHN CAPINA (PA) is 1063408417

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. ELMER JOHN CAPINA (PA)
NPI
1063408417
Phone
(888) 220-6432
Address
901 MCCLINTOCK DR
Enumeration Date
21 September 2005
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302864000
Graduation Year
2003 (23 years ago)
PAC ID
3678552478
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20040715000887
Address ID
IL605214875HI5601XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for MR. ELMER JOHN CAPINA (PA)

  • McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60480, United States

    SUITE 202

    BURR RIDGE, IL 605270872

    Phone: (888) 220-6432

    Fax: (630) 654-4253

    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 7 Open Payments records for all available years, with a total value of $975.

Total Amount is formed as General ($975) + Research ($0) + Ownership ($0) = $975.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Lightbody Medical Technologies Inc ($741).

Total Amount

$975

General + Research + Ownership

Payments

7

Total payment records

General Amount

$975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040715000887IPhysician AssistantILTBD
I20250814004707IPhysician AssistantWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2616$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

Does MR. ELMER JOHN CAPINA (PA) have a public NPI I can cite?
Public records show MR. ELMER JOHN CAPINA (PA) under NPI 1063408417.
Is MR. ELMER JOHN CAPINA (PA)'s NPI status active today?
Active status means MR. ELMER JOHN CAPINA (PA)'s NPI record is not deactivated in the public file.
How should patients interpret MR. ELMER JOHN CAPINA (PA)'s specialty?
The extract shows Physician Assistant for MR. ELMER JOHN CAPINA (PA). Clinical services aligned with this taxonomy classification.
Is MR. ELMER JOHN CAPINA (PA) tied to Burr Ridge, Illinois?
If you are local to Burr Ridge, Illinois, MR. ELMER JOHN CAPINA (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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