Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN MARIE CAPONE M.D.
NPI 1053608836
Pediatrics - Pediatric Gastroenterology in Charleston, SC

Q: What is Kristin Capone's NPI number?

The NPI number for Kristin Capone is 1053608836. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Kristin Capone's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Capone was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since June 30, 2011PECOS Enrolled

2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 402-1305(843) 402-1089 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Jul 23, 2021 (2 updates tracked since 2021).

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About Kristin Marie Capone M.d. NPPES

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

KRISTIN MARIE CAPONE M.D. (NPI 1053608836) is an individual pediatric gastroenterology provider in Charleston, South Carolina, licensed in South Carolina (90973) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053608836

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameKRISTIN MARIE CAPONECredential: M.D.

Location Address2095 HENRY TECKLENBURG DRCharleston, SC 29414-5733

Mailing AddressPo Box 632509Cincinnati, OH 45263-2509 · (888) 472-0043 · Fax (513) 653-4122

Phone(843) 402-1305

Fax(843) 402-1089

Sole ProprietorNo

Enumeration DateJune 30, 2011

Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1053608836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in SC · 90973✔ Licensed in NJ · 25MA10416000✔ Licensed in IL · 036138156

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

2095 HENRY TECKLENBURG DR, Charleston, SC 29414

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Marie Capone M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Kristin Capone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Associates

0.4 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

Rutgers Health-Rwj Scleroderma Program

614 mi

Neurology with Special Qualifications in Child Neurology

10 PLUM ST FL 6
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
641 clinicians in this Medicare group

NPI 1841372224 (732) 258-7000

Rutgers Health-Rwj Scleroderma Program

614 mi

Pediatric Gastroenterology

89 FRENCH STREET, SUITE 2300
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Rutgers Health Rwj Pediatric Gi
5 clinicians in this Medicare group

NPI 1841373313 (732) 235-6230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 20

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

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