RONALD CAPORALE
NPI 1316294408
Physician Assistant in Lubbock, TX

Active since August 08, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6809 SLIDE RD STE J, LUBBOCK, TX 79424(806) 794-9378(806) 799-0691 Get Directions Write a Review

NPPES record last updated: March 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Jan 3, 2022, Sep 7, 2021 and 2 more (5 updates tracked since 2019).

About Ronald Caporale NPPES

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

RONALD CAPORALE (NPI 1316294408) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA07942) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1316294408
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRONALD CAPORALE
Location Address6809 SLIDE RD STE JLubbock, TX 79424-1517
Mailing Address5219 City Bank Pkwy, Suite 35Lubbock, TX 79407-3544 · (806) 761-0333 · Fax (806) 785-7685
Fax(806) 799-0691
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 8, 2012
Last NPPES UpdateMarch 31, 20245 updates tracked since enumeration
NPPES CertifiedMarch 31, 2024
NPI 1316294408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA07942
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6809 SLIDE RD STE J, Lubbock, TX 79424

Accepted 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

Ronald Caporale 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 ID7517114184
PECOS Enrollment IDI20120904000752
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.

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.
86 services79 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services13 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
31 services27 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.
31 services27 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
19 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79424 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
6809 SLIDE RD STE J
LUBBOCK, TX 79424
Family Medicine
6809 SLIDE RD STE J
LUBBOCK, TX 79424

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 Ronald Caporale's NPI number?

The NPI number for Ronald Caporale is 1316294408. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Ronald Caporale located?

Ronald Caporale practices at 6809 Slide Rd Ste J, Lubbock, TX 79424. The listed phone number is (806) 794-9378.

What is Ronald Caporale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ronald Caporale enrolled in Medicare?

Yes. Ronald Caporale 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.

What insurance does Ronald Caporale accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ronald Caporale 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 Ronald Caporale affiliated with any hospitals?

According to CMS data, Ronald Caporale is affiliated with Covenant Medical Center and Grace Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Caporale was last updated on March 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.