DR. BRADLEY JOHN CAPAWANA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1447257076
Foot & Ankle Surgery Podiatrist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
72 PODIATRY in ID
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Provider Addresses for DR. BRADLEY JOHN CAPAWANA (DPM)
Southeast Bishop Boulevard, Pullman, Whitman County, Washington, 99164, United States
STE 801
PULLMAN, WA 991635538
Phone: (509) 334-4498
Fax: (509) 334-0380
Type: Mailing
825 SE BISHOP BLVD STE 201
PULLMAN, WA 991635517
Phone: (509) 334-4498
Fax: (509) 334-0380
Type: Mailing
619, South Washington Street, Moscow, Latah County, Idaho, 83843, United States
STE 103
MOSCOW, ID 838433090
Phone: (509) 334-4498
Fax: (509) 334-0380
Type: Location
619 S Washington St Ste 103
Moscow, ID 838433063
Phone: (509) 334-4498
Fax: (509) 334-0380
Type: Location
229 S 7th St Fl 4
Saint Maries, ID 838611803
Phone: (208) 245-7629
Fax: (208) 245-5246
Type: Location
825 SE BISHOP BLVD STE 140
PULLMAN, WA 991635517
Phone: (509) 334-4498
Fax: (509) 339-7324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050314000839 | I | Podiatry | WA | TBD |
| I20050411000883 | I | Podiatry | ID | TBD |
| I20080104000184 | I | Podiatry | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 58 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 54 | 27 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 53 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 99163)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | ID | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 297 | 118 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| - | ID | |
| Emergency Medicine | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology, Diagnostic Radiology | MN | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| - | ID |
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