DR. ANTHONY E CAPITO (MD) – Plastic and Reconstructive Surgery Physician, NPI 1427260405
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
93 HAND SURGERY in VA
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Provider Addresses for DR. ANTHONY E CAPITO (MD)
Riverside, Roanoke County, Virginia, United States
ROANOKE, VA 240164955
Phone: (540) 510-6200
Fax: (540) 857-5306
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 13 Open Payments records for all available years, with a total value of $1,294.
Total Amount is formed as General ($1,294) + Research ($0) + Ownership ($0) = $1,294.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Mentor Worldwide LLC ($399).
Total Amount
$1,294
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,294
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 |
|---|---|
| Mentor Worldwide LLC | $399 |
| Musculoskeletal Transplant Foundation Inc. | $278 |
| Davol Inc. | $149 |
| TELA Bio, Inc. | $144 |
| Acera Surgical, Inc. | $132 |
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: 2015-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (923 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20130830000375 | I | Plastic And Reconstructive Surgery | SC | TBD |
| I20151109000342 | I | Hand Surgery | VA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 60 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 68 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
| 20550 | Injection into tendon or ligament | 37 | 31 | $0 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 25 | 23 | $0 |
Insurance plans in this area (ZIP 24016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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