SUZANNE DECAPUA PA-C
NPI 1316298581
Physician Assistant in South Burlington, VT

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
192 TILLEY DR, UVM MEDICAL CENTER - ORTHOPEDICS, SOUTH BURLINGTON, VT 05403(802) 847-2663(802) 847-7470 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2015, Dec 11, 2015 (2 updates tracked since 2015).

About Suzanne Decapua Pa-c NPPES

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

SUZANNE DECAPUA PA-C (NPI 1316298581) is an individual physician assistant in South Burlington, Vermont, licensed in Vermont (055.0031275) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1316298581
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUZANNE DECAPUACredential: PA-C
Location Address192 TILLEY DR, UVM MEDICAL CENTER - ORTHOPEDICSSouth Burlington, VT 05403-4440
Mailing Address192 Tilley Dr, Uvm Medical Center - OrthopedicsSouth Burlington, VT 05403-4440 · (802) 847-2663 · Fax (802) 847-7470
Fax(802) 847-7470
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 27, 2012
Last NPPES UpdateDecember 17, 20152 updates tracked since enumeration
NPI 1316298581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VT · 055.0031275 Licensed in NY · 015919
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.

192 TILLEY DR, South Burlington, VT 05403

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

Suzanne Decapua Pa-c 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 ID2062663933
PECOS Enrollment IDI20160212001469
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 7

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.
117 services96 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.
95 services82 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
25 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers62 claims62 services$16.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers52 claims52 services$5.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
12 suppliers177 claims177 services$89.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers55 claims55 services$34.04 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers29 claims2,616 services$0.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers62 claims62 services$35.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist (Hand)
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Specialist/Technologist (Athletic Trainer)
192 TILLEY DR, MAIL STOP 4380 C1
SOUTH BURLINGTON, VT 05403
Physician Assistant
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Physician Assistant (Surgical)
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Occupational Therapist (Hand)
192 TILLEY DR, ORTHOPEDIC SPECIALTY CENTER
SOUTH BURLINGTON, VT 05403
Family Medicine (Sports Medicine)
192 TILLEY DR, ORTHOPAEDIC SPECIALTY CENTER
SOUTH BURLINGTON, VT 05403
Physical Therapist
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Orthopaedic Surgery
192 TILLEY DR
SOUTH BURLINGTON, VT 05403

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 Suzanne Decapua's NPI number?

The NPI number for Suzanne Decapua is 1316298581. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Suzanne Decapua located?

Suzanne Decapua practices at 192 Tilley Dr Uvm Medical Center - Orthopedics, South Burlington, VT 05403. The listed phone number is (802) 847-2663.

What is Suzanne Decapua's specialty?

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

Is Suzanne Decapua enrolled in Medicare?

Yes. Suzanne Decapua 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.

Is Suzanne Decapua affiliated with any hospitals?

According to CMS data, Suzanne Decapua is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Suzanne Decapua was last updated on December 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.