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

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: October 11, 2026.

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

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
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

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 (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.

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.

Internal Medicine (Pulmonary Disease)
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Emergency Medicine
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414

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 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.

Where is Kristin Capone located?

Kristin Capone practices at 2095 Henry Tecklenburg Dr, Charleston, SC 29414. The listed phone number is (843) 402-1305.

What is Kristin Capone's specialty?

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

Is Kristin Capone enrolled in Medicare?

Yes. Kristin Capone is registered in the Medicare PECOS enrollment system.

What insurance does Kristin Capone accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Kristin Capone 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 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 16 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.