RAJ L CAPOOR MD
NPI 1073543377
Specialist in New York, NY

Medicare Participation & PECOS Enrollment Status

Raj Capoor is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Raj Capoor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 1254324304

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20040406000120

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

  2 DME suppliers used 28 Medicare Claims 28 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress (HCPCS:E0261)

  1 DME suppliers used 13 Medicare Claims 13 Services Paid

• DME-Other DME (DE000N)

  Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

  2 DME suppliers used 40 Medicare Claims 40 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, tray, each (HCPCS:E0950)

  2 DME suppliers used 13 Medicare Claims 13 Services Paid

• DME-Wheelchairs (DD000N)

  Heel loop/holder, any type, with or without ankle strap, each (HCPCS:E0951)

  3 DME suppliers used 28 Medicare Claims 56 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

  3 DME suppliers used 229 Medicare Claims 229 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each (HCPCS:E0956)

  2 DME suppliers used 11 Medicare Claims 29 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware (HCPCS:E0960)

  2 DME suppliers used 28 Medicare Claims 28 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, wheel lock brake extension (handle), each (HCPCS:E0961)

  3 DME suppliers used 12 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)

  3 DME suppliers used 41 Medicare Claims 77 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)

  3 DME suppliers used 41 Medicare Claims 79 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, positioning belt/safety belt/pelvic strap, each (HCPCS:E0978)

  3 DME suppliers used 39 Medicare Claims 39 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

  3 DME suppliers used 218 Medicare Claims 249 Services Paid

• DME-Wheelchairs (DD000N)

  Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)

  3 DME suppliers used 213 Medicare Claims 213 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, pneumatic propulsion tire, any size, each (HCPCS:E2211)

  2 DME suppliers used 20 Medicare Claims 40 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each (HCPCS:E2213)

  3 DME suppliers used 38 Medicare Claims 74 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware (HCPCS:E2231)

  3 DME suppliers used 30 Medicare Claims 30 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) (HCPCS:E2361)

  2 DME suppliers used 14 Medicare Claims 28 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2607)

  2 DME suppliers used 24 Medicare Claims 24 Services Paid

• DME-Wheelchairs (DD021N)

  Custom fabricated wheelchair back cushion, any size, including any type mounting hardware (HCPCS:E2617)

  3 DME suppliers used 17 Medicare Claims 17 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2620)

  3 DME suppliers used 14 Medicare Claims 14 Services Paid

• DME-Wheelchairs (DD021N)

  Arm pad, replacement only, each (HCPCS:K0019)

  3 DME suppliers used 12 Medicare Claims 22 Services Paid

• DME-Wheelchairs (DD021N)

  Leg strap, each (HCPCS:K0038)

  2 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD021N)

  Adjustable angle footplate, each (HCPCS:K0040)

  3 DME suppliers used 38 Medicare Claims 76 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair component or accessory, not otherwise specified (HCPCS:K0108)

  2 DME suppliers used 20 Medicare Claims 36 Services Paid

• DME-Wheelchairs (DD021N)

  Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

  3 DME suppliers used 26 Medicare Claims 26 Services Paid

• DME-Other DME (DE000N)

  Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes (HCPCS:K0739)

  2 DME suppliers used 46 Medicare Claims 192 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 110 times for 92 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 31 times for 31 patients

Reviews for RAJ L CAPOOR MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions