PATRICK M CAPONE (MD) – Neurology Physician, NPI 1407836299
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
704 NEUROLOGY in VA
Provider Addresses for PATRICK M CAPONE (MD)
125, Medical Circle, Winchester, Frederick County, Virginia, 22601, United States
SUITE A
WINCHESTER, VA 226013300
Phone: (540) 667-1828
Fax: (540) 722-3658
Type: Mailing
1830 Amherst St
Winchester, VA 226012808
Phone: (540) 667-1828
Type: Location
160 Exeter Dr Ste 104
Winchester, VA 226038614
Phone: (540) 667-1828
Fax: (540) 722-6207
Type: Location
220 CAMPUS BLVD STE 320
WINCHESTER, VA 226012889
Phone: (540) 536-5100
Fax: (540) 536-0235
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Eisai Inc. ($76).
Total Amount
$193
General + Research + Ownership
Payments
6
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $76 |
| Merz Pharmaceuticals, LLC | $31 |
| Inspire Medical Systems, Inc. | $30 |
| Alexion Pharmaceuticals, Inc. | $23 |
| Biogen, Inc. | $19 |
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: 2008-01-04
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 |
|---|---|---|---|---|
| I20080104000336 | I | Neurology | VA | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 285 | 265 | $0 |
| 70551 | Mri scan of brain without contrast | 218 | 218 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 181 | 181 | $0 |
| 70553 | Mri scan of brain before and after contrast | 150 | 149 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 67 | 67 | $0 |
Insurance plans in this area (ZIP 22601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | HI | |
| Diagnostic Radiology | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | WV | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | WV | |
| - | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | MN |
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