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DR. JESSE LEE CAPONE M.D.
NPI 1396039103
Family Medicine in Columbus, OH

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
5193 W BROAD ST, COLUMBUS, OH 43228(614) 544-1450(614) 533-0136 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Jun 10, 2019 (2 updates tracked since 2019).

About Dr. Jesse Lee Capone M.d. NPPES

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

DR. JESSE LEE CAPONE M.D. (NPI 1396039103) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (35123787) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Cincinnati College Of Medicine And Surgery (2011).

NPPES Registry Identity

NPI1396039103
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JESSE LEE CAPONECredential: M.D.
Location Address5193 W BROAD STColumbus, OH 43228-1691
Mailing Address5193 W Broad St Ste 200Columbus, OH 43228-1695 · (614) 544-1450 · Fax (614) 544-1451
Phone(614) 544-1450
Fax(614) 533-0136
Sole ProprietorNo
Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 2011
Enumeration DateJune 9, 2011
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1396039103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35123787
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5193 W BROAD ST, Columbus, OH 43228
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Other Identifiers 1

MedicaidPENDINGOH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Dr. Jesse Lee Capone M.d. 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 ID7012135874
PECOS Enrollment IDI20140820002025
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 10

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.
173 services100 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
93 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 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.
49 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers39 claims77 services$4.98 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims280 services$4.63 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 7

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

JANET ROWSE OTR/L
Occupational Therapist
5193 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1693
MICHELLE LYNN GROMOFSKY NP-C
Nurse Practitioner (Family)
5193 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1450
PAUL EDWARD HARRIS III D.O.
Family Medicine
5193 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1450
LAURA WEGENER
Physical Therapist (Orthopedic)
5193 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1951
DR. STEVEN N MILLER D.O.
Obstetrics & Gynecology
5193 W BROAD ST, SUITE 200
COLUMBUS, OH 43228
Franklin County (614) 788-3700
TRISHA CONLAN PT
Physical Medicine & Rehabilitation
5193 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1951
KIRSTAN LAW PTA
Physical Therapy Assistant
5193 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 599-5876

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 Jesse Capone's NPI number?

The NPI number for Jesse Capone is 1396039103. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Jesse Capone located?

Jesse Capone practices at 5193 W Broad St, Columbus, OH 43228. The listed phone number is (614) 544-1450.

What is Jesse Capone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jesse Capone enrolled in Medicare?

Yes. Jesse Capone 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 Jesse Capone accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Jesse Capone 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 Jesse Capone affiliated with any hospitals?

According to CMS data, Jesse Capone is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Capone was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.