GREGORY PAUL CAPELLI DO
NPI 1306473863
Internal Medicine - Gastroenterology in Milwaukee, WI

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-4077(414) 219-7108 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Gregory Paul Capelli Do NPPES

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

GREGORY PAUL CAPELLI DO (NPI 1306473863) is an individual gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (77149-21) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).

NPPES Registry Identity

NPI1306473863
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGREGORY PAUL CAPELLICredential: DO
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing Address945 N 12th StMilwaukee, WI 53233-1305 · (414) 219-4077 · Fax (414) 219-7108
Fax(414) 219-7108
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1306473863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 77149-21
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
945 N 12TH ST, Milwaukee, WI 53233

Accepted 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

Gregory Paul Capelli Do 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 ID7517382526
PECOS Enrollment IDI20260724001128
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 Reassignment

Medicare enrollment records show Gregory Capelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group

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

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233

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 Gregory Capelli's NPI number?

The NPI number for Gregory Capelli is 1306473863. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Gregory Capelli located?

Gregory Capelli practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-4077.

What is Gregory Capelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gregory Capelli enrolled in Medicare?

Yes. Gregory Capelli 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 organization bills Medicare for Gregory Capelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Capelli reassigns Medicare benefits to Agnesian Healthcare (Beaver Dam, WI). The 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 Gregory Capelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Capelli accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Quartz list Gregory Capelli 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 Gregory Capelli affiliated with any hospitals?

According to CMS data, Gregory Capelli is affiliated with St. Agnes Hospital Hospice.

When was this NPI record last updated?

The NPPES record for Gregory Capelli was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.