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HORACIO CAPOTE M.D.
NPI 1053475939
Psychiatry & Neurology - Psychiatry in Amherst, NY

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
85.47/100
CMS Quality Rating
3980 SHERIDAN DR STE 500, DENT NEUROLOGIC GROUP, LLP, AMHERST, NY 14226(716) 250-2000(716) 636-1365 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Horacio Capote M.d. NPPES

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

HORACIO CAPOTE M.D. (NPI 1053475939) is an individual psychiatry provider in Amherst, New York, licensed in New York (190556) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of New York Medical College And Hospital For Women (1991).

NPPES Registry Identity

NPI1053475939
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameHORACIO CAPOTECredential: M.D.
Location Address3980 SHERIDAN DR STE 500, DENT NEUROLOGIC GROUP, LLPAmherst, NY 14226-1727
Mailing Address3980 Sheridan DrAmherst, NY 14226-1727 · (716) 250-2000 · Fax (716) 250-2040
Phone(716) 250-2000
Fax(716) 636-1365
Sole ProprietorNo
Medical School CMSNew York Medical College And Hospital For WomenGraduated 1991
Enumeration DateDecember 21, 2006
Last NPPES UpdateFebruary 9, 2017
✔ NPI 1053475939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 190556
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3980 SHERIDAN DR STE 500, Amherst, NY 14226
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Other Identifiers 7

Other000524638010NY · Blue Cross & Blue Shield
Other000524638009NY · Blue Cross & Blue Shield
Medicare UPINF48036NY
Other00010336306NY · Univera
Medicaid01731731NY
Other1509078NY · Independent Health
Medicare ID-Type UnspecifiedRA2058NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Horacio Capote 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 ID1759360209
PECOS Enrollment IDI20040717000222
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 7

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
350 services51 patients
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, G2083
This is a routine office visit for existing patients needing physician supervision for esketamine nasal self-administration, a medication used for certain mental health conditions. More than 56 mg will be administered. The visit includes evaluation and ongoing management of your health.
347 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
147 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services68 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
91 services91 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
59 services54 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

85.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability52
Improvement Activities40
Cost99.99

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 Horacio Capote's NPI number?

The NPI number for Horacio Capote is 1053475939. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Horacio Capote located?

Horacio Capote practices at 3980 Sheridan Dr Ste 500 Dent Neurologic Group, LLP, Amherst, NY 14226. The listed phone number is (716) 250-2000.

What is Horacio Capote's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Horacio Capote enrolled in Medicare?

Yes. Horacio Capote 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 Horacio Capote accept?

Health plans from Providence Health Plan list Horacio Capote 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.

Is Horacio Capote affiliated with any hospitals?

According to CMS data, Horacio Capote is affiliated with Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Horacio Capote was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.