EDWARD CAPOCCIA (M.D.) – Urology Physician, NPI 1891177051
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
543 UROLOGY in IL
Provider Addresses for EDWARD CAPOCCIA (M.D.)
1653 W CONGRESS PKWY
CHICAGO, IL 606123833
Phone:
Type: Mailing
1653 W Congress Pkwy
Chicago, IL 606123833
Phone: (312) 942-5850
Type: Location
400 W 84TH DR
MERRILLVILLE, IN 464106248
Phone:
Type: Mailing
4320 FIR ST UNIT 220
EAST CHICAGO, IN 463123076
Phone: (219) 703-2591
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $897.
Total Amount is formed as General ($897) + Research ($0) + Ownership ($0) = $897.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($229).
Total Amount
$897
General + Research + Ownership
Payments
41
Total payment records
General Amount
$897
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 |
|---|---|
| Sumitomo Pharma America, Inc. | $229 |
| Photocure Inc | $107 |
| Merck Sharp & Dohme LLC | $94 |
| UROGEN PHARMA, INC. | $61 |
| Boston Scientific Corporation | $57 |
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: 2021-06-17
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 |
|---|---|---|---|---|
| I20210617002017 | I | Urology | IN | 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 | 491 | 340 | $0 |
| 81003 | Automated urinalysis test | 461 | 337 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 267 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 164 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 161 | 146 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| U R O L O G Y | MI | |
| U R O L O G Y | IN | |
| U R O L O G Y | IN | |
| U R O L O G Y | IL | |
| U R O L O G Y | IN | |
| U R O L O G Y | IN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN |
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