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SUSAN C CAPELLE M.D.
NPI 1275584872
Urology - Urogynecology and Reconstructive Pelvic Surgery in Morgantown, WV

Active since May 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 51D1051258 · Microscopy
82.21/100
CMS Quality Rating
3496 UNIVERSITY AVE, MORGANTOWN, WV 26505(304) 599-7075(304) 581-6800 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan C Capelle M.d. NPPES

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

SUSAN C CAPELLE M.D. (NPI 1275584872) is an individual urogynecology and reconstructive pelvic surgery provider in Morgantown, West Virginia, licensed in West Virginia (20147) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through January 30, 2027, and is affiliated with West Virginia University Hospitals, Inc.

NPPES Registry Identity

NPI1275584872
Entity TypeIndividualFemale
Primary Taxonomy2088F0040X
Provider Legal NameSUSAN C CAPELLECredential: M.D.
Location Address3496 UNIVERSITY AVEMorgantown, WV 26505-3001
Mailing Address3496 University AveMorgantown, WV 26505-3001 · (304) 599-7075 · Fax (304) 581-6800
Phone(304) 599-7075
Fax(304) 581-6800
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1991
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 5, 2017
✔ NPI 1275584872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License✔ Licensed in WV · 20147
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedSpecialistTaxonomy 174400000X · License 20147 (WV)
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License 20147 (WV)
3496 UNIVERSITY AVE, Morgantown, WV 26505
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Other Identifiers 3

Medicare UPINF89851WV
Medicaid6200220000WV
Medicare PIN4018662WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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

Susan C Capelle M.d. 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 ID5193701480
PECOS Enrollment IDI20040628000382
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 51D1051258

Susan C Capelle MD PLLC · Morgantown, WV
Active · expires Jan 30, 2027
CLIA Number51D1051258
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorSusan C. Capelle MD
Laboratory Phone(304) 599-7075
Laboratory LocationSusan C Capelle MD PLLC3496 University Avenue, Morgantown, WV 26505
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 10

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 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.
84 services81 patients
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.
48 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services45 patients
Repair of bulging of rectum and bladder into vaginal wall 57265
This procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.
27 services27 patients
Creation of sling around urethra in female to control leakage 57288
This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

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.

82.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.53
Improvement Activities40
Cost51.99

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN CARPENTER WHNP-BC
Nurse Practitioner (Obstetrics & Gynecology)
3496 UNIVERSITY AVE
MORGANTOWN, WV 26505
Monongalia County (304) 599-7075
SUSAN CAPELLE MD, PLLC
Specialist
3496 UNIVERSITY AVE
MORGANTOWN, WV 26505
Monongalia County (304) 599-7075
RACHEL MASTERS FNP-C
Nurse Practitioner (Family)
3496 UNIVERSITY AVE
MORGANTOWN, WV 26505
Monongalia County (304) 599-7075
RACHEL SPEAKER FNP-C
Nurse Practitioner (Family)
3496 UNIVERSITY AVE
MORGANTOWN, WV 26505
Monongalia County (304) 599-7075
MS. HOLLY K GROGG FNP-BC
Nurse Practitioner (Obstetrics & Gynecology)
3496 UNIVERSITY AVE
MORGANTOWN, WV 26505
Monongalia County (304) 599-7075

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 Susan Capelle's NPI number?

The NPI number for Susan Capelle is 1275584872. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Susan Capelle located?

Susan Capelle practices at 3496 University Ave, Morgantown, WV 26505. The listed phone number is (304) 599-7075.

What is Susan Capelle's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Susan Capelle enrolled in Medicare?

Yes. Susan Capelle 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.

Does Susan Capelle hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D1051258) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Susan Capelle accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Susan Capelle 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 Susan Capelle affiliated with any hospitals?

According to CMS data, Susan Capelle is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Mon Health Medical Center, Wheeling Hospital, Inc and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Susan Capelle was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.