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ROBERTA CAPP M.D.
NPI 1548451669
Emergency Medicine in Gastonia, NC

Active since August 05, 2007PECOS Enrolled
2910 EAST FRANKLIN BOULEVARD, SUITE 1, GASTONIA, NC 28056(704) 741-0264 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2022, Aug 19, 2022, Nov 15, 2018 and 1 more (4 updates tracked since 2017).

About Roberta Capp M.d. NPPES

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

ROBERTA CAPP M.D. (NPI 1548451669) is an individual emergency medicine provider in Gastonia, North Carolina, licensed in North Carolina (2020-00604) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1548451669
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameROBERTA CAPPCredential: M.D.
Location Address2910 EAST FRANKLIN BOULEVARD, SUITE 1Gastonia, NC 28056
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(704) 741-0264
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 26, 20224 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
✔ NPI 1548451669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2020-00604✔ Licensed in CO · DR.0052641
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License DR.0052641 (CO)
2910 EAST FRANKLIN BOULEVARD, Gastonia, NC 28056
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Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045 · Phone (720) 848-0000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta Capp M.d. 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 Roberta Capp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
25 mi
Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1760288633 (704) 660-4750

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
64 services64 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28056 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Roberta Capp's NPI number?

The NPI number for Roberta Capp is 1548451669. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Roberta Capp located?

Roberta Capp practices at 2910 East Franklin Boulevard Suite 1, Gastonia, NC 28056. The listed phone number is (704) 741-0264.

What is Roberta Capp's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Roberta Capp enrolled in Medicare?

Yes. Roberta Capp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roberta Capp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Capp reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Mooresville, NC). 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 Roberta Capp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberta Capp accept?

Health plans from Blue Cross and Blue Shield of NC list Roberta Capp 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.

When was this NPI record last updated?

The NPPES record for Roberta Capp was last updated on August 26, 2022. 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.