DR. MARIO R CAPIO (M.D.) – Family Medicine Physician, NPI 1356383863
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
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Provider Addresses for DR. MARIO R CAPIO (M.D.)
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022416457
Phone:
Type: Mailing
230, West Parkway, Pompton Plains, Pequannock, Pequannock Township, Morris County, New Jersey, 07444, United States
UNIT 10
POMPTON PLAINS, NJ 074441060
Phone: (973) 835-0800
Fax: (973) 616-2766
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $2,036.
Total Amount is formed as General ($2,036) + Research ($0) + Ownership ($0) = $2,036.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($705).
Total Amount
$2,036
General + Research + Ownership
Payments
110
Total payment records
General Amount
$2,036
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $705 |
| Novo Nordisk Inc | $460 |
| Exact Sciences Corporation | $275 |
| PFIZER INC. | $93 |
| Abbott Laboratories | $73 |
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: 2004-09-13
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 |
|---|---|---|---|---|
| I20040913000026 | I | Family Practice | NJ | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 691 | 400 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 635 | 422 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 546 | 313 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 389 | 389 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 137 | 137 | $0 |
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NJ | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NC | |
| Internal Medicine | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| N E U R O L O G Y | NJ | |
| Physician Assistant | NJ | |
| Emergency Medicine, Internal Medicine | NJ |
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