GERARDO CAPO MD
NPI 1225049505
Internal Medicine in Elizabeth, NJ

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
225 WILLIAMSON ST, ELIZABETH, NJ 07202(908) 994-5000(908) 994-8744 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gerardo Capo Md NPPES

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

GERARDO CAPO MD (NPI 1225049505) is an individual internal medicine provider in Elizabeth, New Jersey, licensed in New Jersey (25MA08098300) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1225049505
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERARDO CAPOCredential: MD
Location Address225 WILLIAMSON STElizabeth, NJ 07202-3625
Mailing Address225 Williamson StElizabeth, NJ 07202-3625 · (908) 994-5000 · Fax (908) 994-8744
Fax(908) 994-8744
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 11, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1225049505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA08098300
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 ListedSpecialistTaxonomy 174400000X · License 25MA08098300 (NJ)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 25MA08098300 (NJ)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 25MA08098300 (NJ)
225 WILLIAMSON ST, Elizabeth, NJ 07202

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

Gerardo Capo 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 ID7113925405
PECOS Enrollment IDI20061121000231
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 6

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.
211 services110 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
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.
119 services62 patients
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.
41 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
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.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%344 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,291 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
84%159 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%485 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%486 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier15 claims15 services$18.28 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims17 services$35.57 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.28 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier12 claims600 services$0.19 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier15 claims150 services$1.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Emergency Medicine
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Psychiatry & Neurology (Psychiatry)
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Anesthesiology
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Hospitalist
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Student in an Organized Health Care Education/Training Program
225 WILLIAMSON ST
ELIZABETH, NJ 07202

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 Gerardo Capo's NPI number?

The NPI number for Gerardo Capo is 1225049505. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Gerardo Capo located?

Gerardo Capo practices at 225 Williamson St, Elizabeth, NJ 07202. The listed phone number is (908) 994-5000.

What is Gerardo Capo's specialty?

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

Is Gerardo Capo enrolled in Medicare?

Yes. Gerardo Capo 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.

Is Gerardo Capo affiliated with any hospitals?

According to CMS data, Gerardo Capo is affiliated with Robert Wood Johnson University Hospital At Rahway, Trinitas Regional Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Gerardo Capo was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.