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DR. JAMES PETER CAPPELLO D.O.
NPI 1134574304
Internal Medicine in Cleveland, OH

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
11100 EUCLID AVE, CLEVELAND, OH 44106(866) 844-2273 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2021, Dec 11, 2018 (2 updates tracked since 2018).

About Dr. James Peter Cappello D.o. NPPES

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

DR. JAMES PETER CAPPELLO D.O. (NPI 1134574304) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (34.013487) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134574304
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES PETER CAPPELLOCredential: D.O.
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address5700 Darrow Rd Ste 106Hudson, OH 44236-5026 · (216) 290-2081
Phone(866) 844-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1134574304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.013487
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11100 EUCLID AVE, Cleveland, OH 44106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. James Peter Cappello D.o. 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 ID6305170994
PECOS Enrollment IDI20190702001663
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

6

Medicare enrollment records show James Cappello reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
Same address
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Southwest General Medical Group, Inc.
13 mi
Orthopaedic Surgery
15900 SNOW RD
Brook Park, OH 44142
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1144414871 (216) 676-1234
Hni Medical Services Of Ohio, LLC
15 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1356815922 (440) 542-5000
Inpatient Medical Services, Inc.
22 mi
Internal Medicine
5700 DARROW RD STE 106
Hudson, OH 44236
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1093756314 (844) 474-4019
4M Hospitalist Services, LLC
30 mi
Internal Medicine
525 E MARKET ST
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 259 clinicians in this Medicare group
NPI 1508288531 (844) 474-4019
Community Hospitalist, LLC
33 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
222 services126 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
178 services165 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
149 services139 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
129 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
98 services57 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

University Hospitals Conneaut Medical Center

Critical Access Hospitals · Conneaut, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361308
Location158 West Main RoadConneaut, OH 44030 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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 James Cappello's NPI number?

The NPI number for James Cappello is 1134574304. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is James Cappello located?

James Cappello practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (866) 844-2273.

What is James Cappello's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Cappello enrolled in Medicare?

Yes. James Cappello 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.

Which organizations bill Medicare for James Cappello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Cappello reassigns Medicare benefits to 6 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Southwest General Medical Group, Inc. (Brook Park, OH), Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH), Inpatient Medical Services, Inc. (Hudson, OH), 4M Hospitalist Services, LLC (Akron, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Cappello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Cappello accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list James Cappello 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 James Cappello affiliated with any hospitals?

According to CMS data, James Cappello is affiliated with Uh Regional Hospitals, Uh Cleveland Medical Center, Uhhs Memorial Hospital Of Geneva and University Hospitals Conneaut Medical Center.

When was this NPI record last updated?

The NPPES record for James Cappello was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.