1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Obstetrics Gynecology
  6. NPI Profile

ANTHONY ALFRED CAPRIA MD
NPI 1285195750
Obstetrics & Gynecology in Cincinnati, OH

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 584-6373 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Jun 13, 2023 (2 updates tracked since 2023).

About Anthony Alfred Capria Md NPPES

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

ANTHONY ALFRED CAPRIA MD (NPI 1285195750) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (35148496) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1285195750
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANTHONY ALFRED CAPRIACredential: MD
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing Address3200 Burnet AveCincinnati, OH 45229-3019
Phone(513) 584-6373
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1285195750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 35148496✔ Licensed in MA · 1028195✔ Licensed in KY · 58635✔ Licensed in IN · 11022507A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3188 BELLEVUE AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Secondary Practice Location 1

Location 1850 Harrison Avenue, FL 4, Yawkey BldgBoston, MA 02118 · Phone (617) 414-2000

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

Anthony Alfred Capria 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 ID941538359
PECOS Enrollment IDI20230724000491, I20231211003122
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

2

Medicare enrollment records show Anthony Capria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC
Same address
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 125 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Boston University Obstetrics And Gynecology Foundation, Inc.
738 mi
Obstetrics & Gynecology
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 158 clinicians in this Medicare group
NPI 1063459568 (617) 414-2000

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

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

RHEA RUBIN M.D.
Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-4831
SYDNEY CADIZ MD
Emergency Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 418-2639
KIRSTEN HAUSMANN
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
BRENDEN WOCKLEY PA-C
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
DR. SHAWN JIA MD
Anesthesiology
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
EDITA TOTAJ OT
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-4831
MARIA LAURA RICARDO-SILGADO MD
Internal Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (507) 271-8407
ALEXANDRA SCHLITZ CRNA
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-5500

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 Anthony Capria's NPI number?

The NPI number for Anthony Capria is 1285195750. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Anthony Capria located?

Anthony Capria practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 584-6373.

What is Anthony Capria's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Capria enrolled in Medicare?

Yes. Anthony Capria 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 Anthony Capria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Capria reassigns Medicare benefits to 2 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH) and Boston University Obstetrics And Gynecology Foundation, Inc. (Boston, MA). 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 Anthony Capria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Capria accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Anthony Capria 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 Anthony Capria affiliated with any hospitals?

According to CMS data, Anthony Capria is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Capria was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.