PATRICK M CAPONE MD
NPI 1407836299
Psychiatry & Neurology - Neurology in Winchester, VA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
125 MEDICAL CIR, SUITE A, WINCHESTER, VA 22601(540) 667-1828(540) 722-3658 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2024, Feb 16, 2023, Feb 9, 2023 and 1 more (4 updates tracked since 2021).

About Patrick M Capone Md NPPES

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

PATRICK M CAPONE MD (NPI 1407836299) is an individual neurology provider in Winchester, Virginia, licensed in Virginia (0101048901) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407836299
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePATRICK M CAPONECredential: MD
Location Address125 MEDICAL CIR, SUITE AWinchester, VA 22601-3300
Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 722-3658
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1983
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1407836299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in VA · 0101048901
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Diagnostic NeuroimagingTaxonomy 2084D0003X · License N10020408 (VA)
125 MEDICAL CIR, Winchester, VA 22601

Secondary Practice Locations 2

Location 11830 Amherst StWinchester, VA 22601-2808 · Phone (540) 667-1828
Location 2160 Exeter Dr Ste 104Winchester, VA 22603-8614 · Phone (540) 667-1828 · Fax (540) 722-6207

Other Identifiers 5

Medicaid0090116000WV
Other289217VA · Anthem
Other001717360WV · Mountain State Bcbs
Other130007966VA · Railroad Medicare
Medicaid006124381VA

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

Patrick M Capone 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 ID6103823950
PECOS Enrollment IDI20080104000336
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 22

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
187 services172 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
174 services173 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
120 services120 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
109 services107 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
62 services62 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
53 services53 patients

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 4

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

Psychiatry & Neurology (Neurology)
125 MEDICAL CIR
WINCHESTER, VA 22601
Nurse Practitioner (Family)
125 MEDICAL CIR
WINCHESTER, VA 22601
Psychiatry & Neurology (Neurology)
125 MEDICAL CIR
WINCHESTER, VA 22601
Psychiatry & Neurology (Neurology)
125 MEDICAL CIR, SUITE A
WINCHESTER, VA 22601

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 Patrick Capone's NPI number?

The NPI number for Patrick Capone is 1407836299. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Patrick Capone located?

Patrick Capone practices at 125 Medical Cir Suite A, Winchester, VA 22601. The listed phone number is (540) 667-1828.

What is Patrick Capone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Patrick Capone enrolled in Medicare?

Yes. Patrick 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 Patrick Capone accept?

Health plans from CareSource list Patrick 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 Patrick Capone affiliated with any hospitals?

According to CMS data, Patrick Capone is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital and Page Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Patrick Capone was last updated on October 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.