DR. JUSTIN MARK CAPPUZZO MD
NPI 1538517164
Neurological Surgery in Wilmington, NC

Q: What is Justin Cappuzzo's NPI number?

The NPI number for Justin Cappuzzo is 1538517164. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Q: What is Justin Cappuzzo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Cappuzzo was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment

84.31/100

CMS Quality Rating

2800 ASHTON DR, WILMINGTON, NC 28412(910) 799-2262(910) 799-2943 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2024, Mar 22, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Justin Mark Cappuzzo Md NPPES

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

DR. JUSTIN MARK CAPPUZZO MD (NPI 1538517164) is an individual neurological surgery provider in Wilmington, North Carolina, licensed in North Carolina (2022-03260) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of George Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1538517164

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. JUSTIN MARK CAPPUZZOCredential: MD

Location Address2800 ASHTON DRWilmington, NC 28412-2575

Mailing Address2800 Ashton DrWilmington, NC 28412-2575 · (910) 799-2262 · Fax (910) 799-2943

Phone(910) 799-2262

Fax(910) 799-2943

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2016

Enumeration DateMay 24, 2016

Last NPPES UpdateFebruary 9, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2024

✔ NPI 1538517164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in NC · 2022-03260✔ Licensed in NY · 314140

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedSurgeryTaxonomy 208600000X · License 267005 (MA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2800 ASHTON DR, Wilmington, NC 28412

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Justin Mark Cappuzzo 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 ID6103112768

PECOS Enrollment IDI20230605003032

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 14

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

89 services77 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

42 services37 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.

30 services26 patients

Insertion of tube into chest or arm artery, initial third order branch 36217

This is a procedure where a thin tube, called a catheter, is inserted into an artery in your chest or arm. It is guided to a third order branch, which is a smaller artery. This can help doctors diagnose or treat certain conditions by allowing them to see or access these arteries directly.

22 services19 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

22 services21 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

22 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services19 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

19 services19 patients

Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist 36223

This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.

18 services17 patients

Imaging of blood vessel 75898

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

18 services16 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.

18 services18 patients

Insertion of stent and blood clot protection device in neck artery with review by radiologist 37215

This procedure involves placing a small mesh tube, or stent, in your neck artery to ensure blood flow. A protective device is also inserted to prevent blood clots from reaching the brain. A radiologist reviews the procedure to ensure everything is in place correctly.

16 services16 patients

Occlusion of central nervous system or spinal cord artery 61624

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

16 services15 patients

Review by radiologist of image for insertion of material to block blood flow 75894

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340158

Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28412 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

84.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.55

Improvement Activities

Other Providers at the Same Location NPPES 10

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

SHELTON PROSTHETICS AND ORTHOTICS

Prosthetist

2800 ASHTON DR, 201
WILMINGTON, NC 28412

New Hanover County (910) 520-0163

EILEEN LAZECKO PA-C

Physician Assistant

2800 ASHTON DR
WILMINGTON, NC 28412

New Hanover County (910) 794-8895

ASHLEY MASON RAHAUSER PA-C

Physician Assistant

2800 ASHTON DR
WILMINGTON, NC 28412

New Hanover County (910) 794-8892

COASTAL REHABILITION ASSOCIATES

Psychologist (Clinical)

2800 ASHTON DR, SUITE 100
WILMINGTON, NC 28412

New Hanover County (910) 794-8892

GEOFFREY PAUL STRICSEK M.D.

Neurological Surgery

2800 ASHTON DR
WILMINGTON, NC 28412

New Hanover County (910) 799-2262

DR. THOMAS ERIC MELIN M.D.

Neurological Surgery

2800 ASHTON DR, SUITE 200
WILMINGTON, NC 28412

New Hanover County (910) 799-2262

JAKE ROBERT SCHLEPPY PHYSICIAN ASSISTANT

Physician Assistant

2800 ASHTON DR
WILMINGTON, NC 28412

New Hanover County (910) 799-2262

DR. PETER GEMELLI

Physical Medicine & Rehabilitation

2800 ASHTON DR, SUITE 100
WILMINGTON, NC 28412

New Hanover County (910) 794-8892

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 Justin Cappuzzo's NPI number?

The NPI number for Justin Cappuzzo is 1538517164. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Justin Cappuzzo located?

Justin Cappuzzo practices at 2800 Ashton Dr, Wilmington, NC 28412. The listed phone number is (910) 799-2262.

What is Justin Cappuzzo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Justin Cappuzzo enrolled in Medicare?

Yes. Justin Cappuzzo 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 Justin Cappuzzo accept?

Health plans from Blue Cross and Blue Shield of NC list Justin Cappuzzo 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 Justin Cappuzzo affiliated with any hospitals?

According to CMS data, Justin Cappuzzo is affiliated with Novant Health New Hanover Regional Medical Center and Novant Health Brunswick Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Cappuzzo was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.