DR. EDNA KAPENHAS MD
NPI 1386627321
Surgery in Southampton, NY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8300 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edna Kapenhas Md NPPES

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

DR. EDNA KAPENHAS MD (NPI 1386627321) is an individual surgery provider in Southampton, New York, licensed in New York (231215) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1998).

NPPES Registry Identity

NPI1386627321
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. EDNA KAPENHASCredential: MD
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing AddressPo Box 2340Southampton, NY 11969-2340 · (631) 283-2430 · Fax (631) 283-5731
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998
Enumeration DateNovember 23, 2005
Last NPPES UpdateNovember 21, 2018
✔ NPI 1386627321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 231215
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
240 MEETING HOUSE LN, Southampton, NY 11968

Other Names 1

Professional Name (2)Dr. Edna Kapenhas-valdes Md

Other Identifiers 1

Medicaid02595155NY

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

Dr. Edna Kapenhas 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 ID5092778126
PECOS Enrollment IDI20041109000832
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 Edna Kapenhas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
57 HAMPTON RD, SUITE 201
Southampton, NY 11968
  • Reassigned Medicare billing, New York enrollment
  • 134 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.

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
110 services94 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.
48 services45 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.
22 services20 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.
21 services21 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968

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 Edna Kapenhas's NPI number?

The NPI number for Edna Kapenhas is 1386627321. It was assigned to this individual provider in the NPPES registry on November 23, 2005. The provider is also known as Dr. Edna Kapenhas-Valdes MD.

Where is Edna Kapenhas located?

Edna Kapenhas practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8300.

What is Edna Kapenhas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edna Kapenhas enrolled in Medicare?

Yes. Edna Kapenhas 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 Edna Kapenhas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edna Kapenhas reassigns Medicare benefits to Meeting House Lane Medical Practice PC (Southampton, NY). 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 Edna Kapenhas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edna Kapenhas affiliated with any hospitals?

According to CMS data, Edna Kapenhas is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Edna Kapenhas was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.