AVERY C CAPONE MD
NPI 1114217643
Plastic Surgery in Pittsburgh, PA

Q: What is Avery Capone's NPI number?

The NPI number for Avery Capone is 1114217643. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Q: What is Avery Capone's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Capone was last updated on July 6, 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.

Active since April 18, 2011PECOS EnrolledAccepts Medicare Assignment

5727 CENTRE AVE, PITTSBURGH, PA 15206(412) 363-6626(412) 363-7008 Get Directions Write a Review

NPPES record last updated: July 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avery C Capone Md NPPES

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

AVERY C CAPONE MD (NPI 1114217643) is an individual plastic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD467567) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1114217643

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameAVERY C CAPONECredential: MD

Location Address5727 CENTRE AVEPittsburgh, PA 15206-3707

Mailing Address5727 Centre AvePittsburgh, PA 15206-3707 · (412) 363-6626 · Fax (412) 363-7008

Phone(412) 363-6626

Fax(412) 363-7008

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2011

Enumeration DateApril 18, 2011

Last NPPES UpdateJuly 6, 2019

✔ NPI 1114217643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in PA · MD467567

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License MD467567 (PA)

5727 CENTRE AVE, Pittsburgh, PA 15206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Avery C Capone Md 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 ID4789973041

PECOS Enrollment IDI20190731002581

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

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.

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.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15206 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

JESSICA CAPONE NP-C

Nurse Practitioner (Family)