MR. PETER CAPRIOLI
NPI 1285008193
Nurse Practitioner - Family in Allentown, PA

Q: What is Peter Caprioli's NPI number?

The NPI number for Peter Caprioli is 1285008193. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Q: What is Peter Caprioli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Caprioli was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 November 17, 2015PECOS EnrolledAccepts Medicare Assignment

83.11/100

CMS Quality Rating

1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(484) 862-3232(484) 862-3250 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2016, Nov 17, 2015 (2 updates tracked since 2015).

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About Mr. Peter Caprioli NPPES

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

MR. PETER CAPRIOLI (NPI 1285008193) is an individual family provider in Allentown, Pennsylvania, licensed in Pennsylvania (SP015449) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285008193

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. PETER CAPRIOLI

Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500

Phone(484) 862-3232

Fax(484) 862-3250

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 17, 2015

Last NPPES UpdateMarch 2, 20162 updates tracked since enumeration

✔ NPI 1285008193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP015449

1200 S CEDAR CREST BLVD, Allentown, PA 18103

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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

Mr. Peter Caprioli 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 ID1850322694

PECOS Enrollment IDI20160106001783

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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 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.

19 services19 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.

16 services16 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.

14 services13 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

83.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.91

Promoting Interoperability

100

Improvement Activities

Cost

61.09

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

77%108 patients1/55-star benchmark: 100%

Advance Care Plan

0%153 patients1/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

97%133 patients4/55-star benchmark: 100%

Chlamydia Screening for Women

56%104 patients

Closing the Referral Loop: Receipt of Specialist Report

2%215 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

0%342 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

36%42 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

0%21 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%21 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%1,167 patients5/55-star benchmark: 100%

e-Prescribing

98%1,125 patients4/55-star benchmark: 100%

HIV Screening

8%1,059 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%1,086 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%1,085 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 23% · 417 patients

20%417 patients

Provide Patients Electronic Access to Their Health Information

87%1,169 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 157 patients

Patients totalRate: 0% · 157 patients

0%157 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.

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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.

MUHAMMAD MAJEED MD

Hospitalist