CARTER LOUIS CAPRA M.D.
NPI 1033559430
Internal Medicine - Hematology & Oncology in Birmingham, AL

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment
81.33/100
CMS Quality Rating
2728 10TH AVE S STE 200, BIRMINGHAM, AL 35205(205) 939-7880(205) 930-2509 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carter Louis Capra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARTER LOUIS CAPRA M.D. (NPI 1033559430) is an individual hematology & oncology provider in Birmingham, Alabama, licensed in Alabama (MD.37843) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033559430
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameCARTER LOUIS CAPRACredential: M.D.
Location Address2728 10TH AVE S STE 200Birmingham, AL 35205
Mailing Address500 Office Park Dr Ste 400Mountain Brk, AL 35223-2457 · (205) 803-4384 · Fax (205) 803-4354
Fax(205) 930-2509
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 28, 2013
Last NPPES UpdateJuly 25, 2019
NPI 1033559430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AL · MD.37843
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2728 10TH AVE S STE 200, Birmingham, AL 35205

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-5601

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carter Louis Capra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153655535
PECOS Enrollment IDI20190619002250
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
21,200 services14 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
12,750 services14 patients
Injection, immune globulin (bivigam), 500 mg J1556
The immune globulin injection (Bivigam) is a treatment that boosts your immune system. It's given when your body can't produce enough antibodies to fight infections. This 500mg dose helps protect you from diseases and infections.
10,860 services19 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
4,344 services42 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
2,700 services18 patients
Injection, palonosetron hcl, 25 mcg J2469
Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
2,040 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.81
Promoting Interoperability91
Improvement Activities40
Cost54.79

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier28 claims2,124 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier21 claims21 services$16.28 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier18 claims18 services$11.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
2728 10TH AVE S STE 200
BIRMINGHAM, AL 35205
Nurse Practitioner (Acute Care)
2728 10TH AVE S STE 200
BIRMINGHAM, AL 35205
Internal Medicine (Hematology & Oncology)
2728 10TH AVE S STE 200, BRUNO CANCER CENTER
BIRMINGHAM, AL 35205
Internal Medicine (Hematology & Oncology)
2728 10TH AVE S STE 200, BRUNO CANCER CENTER
BIRMINGHAM, AL 35205
Internal Medicine (Hematology & Oncology)
2728 10TH AVE S STE 200, BRUNO CANCER CENTER
BIRMINGHAM, AL 35205
Internal Medicine (Hematology & Oncology)
2728 10TH AVE S STE 200
BIRMINGHAM, AL 35205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carter Capra's NPI number?

The NPI number for Carter Capra is 1033559430. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Carter Capra located?

Carter Capra practices at 2728 10th Ave S Ste 200, Birmingham, AL 35205. The listed phone number is (205) 939-7880.

What is Carter Capra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Carter Capra enrolled in Medicare?

Yes. Carter Capra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carter Capra accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Carter Capra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carter Capra was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.