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DR. RICHARD A. CAPITO MD
NPI 1407858772
Internal Medicine in Charleston, WV

Active since June 01, 2005PECOS Enrolled
90.11/100
CMS Quality Rating
1097 FLEDDERJOHN RD, CHARLESTON, WV 25314(304) 345-3627(304) 346-4440 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2021, Jan 4, 2021, Jul 26, 2018 and 3 more (6 updates tracked since 2015).

About Dr. Richard A. Capito Md NPPES

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

DR. RICHARD A. CAPITO MD (NPI 1407858772) is an individual internal medicine provider in Charleston, West Virginia, licensed in West Virginia (12654) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in S Charleston.

NPPES Registry Identity

NPI1407858772
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD A. CAPITOCredential: MD
Location Address1097 FLEDDERJOHN RDCharleston, WV 25314
Mailing Address4605 Maccorkle Avenue, Sw, Ths Physician Partners, Inc.-admin OfcS Charleston, WV 25309 · (304) 414-4800 · Fax (304) 414-4801
Phone(304) 345-3627
Fax(304) 346-4440
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateDecember 22, 20216 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1407858772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 12654
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 12654 (WV)
1097 FLEDDERJOHN RD, Charleston, WV 25314
Open in Google Maps ↗

Secondary Practice Location 1

Location 14605 MacCorkle Avenue, SW, THS Physician Partners, Inc.-Admin OfcS Charleston, WV 25309 · Phone (304) 414-4800 · Fax (304) 414-4801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard A. Capito Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Richard Capito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ths Physician Partners Inc
2.8 mi
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 clinicians in this Medicare group
NPI 1871866806 (304) 414-4800

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 2

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.
25 services25 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25314 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
23%171 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%179 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%452 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
2%118 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%277 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
93%277 patients5/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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
6 suppliers11 claims32 services$5.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$16.68 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
2 suppliers19 claims19 services$87.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$178.68 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 11

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

SAMAR RYIAD SANKARI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 720-1963
CHRISTINA HAIKAL STROPE RPH
Pharmacist
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 767-7920
JORDAN CANANKAMP PHARMD
Pharmacist (Ambulatory Care)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
JOHN HUNTER LEWIS DO
Family Medicine
1097 FLEDDERJOHN RD, TMH ASHTON MEDICAL ASSOCIATES
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
DR. KWASI AMPONSAH GAMBRAH M.D.
Family Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Pharmacy (Community/Retail Pharmacy)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 767-7920
DR. MICHELLE LYNN KNIGHT PHARM.D.
Pharmacist (Ambulatory Care)
1097 FLEDDERJOHN RD, ASHTON MEDICAL ASSOCIATES, INC.
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
ASHTON MEDICAL ASSOCIATES INC
Family Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627

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 Richard Capito's NPI number?

The NPI number for Richard Capito is 1407858772. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Richard Capito located?

Richard Capito practices at 1097 Fledderjohn Rd, Charleston, WV 25314. The listed phone number is (304) 345-3627.

What is Richard Capito's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Capito enrolled in Medicare?

Yes. Richard Capito is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Capito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Capito reassigns Medicare benefits to Ths Physician Partners Inc (South Charleston, WV). 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 Richard Capito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Capito was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.