DR. KEVIN CHARLES CAPP DO
NPI 1588800155
Family Medicine in Mount Union, PA

Q: What is Kevin Capp's NPI number?

The NPI number for Kevin Capp is 1588800155. It was assigned to this individual provider in the NPPES registry on December 31, 2008.

Q: What is Kevin Capp's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Capp was last updated on June 6, 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 December 31, 2008PECOS EnrolledAccepts Medicare Assignment

95 S PARK ST, MOUNT UNION, PA 17066(814) 542-8627(814) 542-5444 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2024, Aug 31, 2023, Aug 31, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Kevin Charles Capp Do NPPES

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

DR. KEVIN CHARLES CAPP DO (NPI 1588800155) is an individual family medicine provider in Mount Union, Pennsylvania, licensed in Pennsylvania (OSO15055) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Geisinger-lewistown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588800155

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEVIN CHARLES CAPPCredential: DO

Location Address95 S PARK STMount Union, PA 17066-1334

Mailing Address926 West 38th Street, Dr. Kevin CappErie, PA 16508 · (814) 866-1960 · Fax (814) 866-1935

Phone(814) 542-8627

Fax(814) 542-5444

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 31, 2008

Last NPPES UpdateJune 6, 20244 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1588800155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · OSO15055✔ Licensed in PA · OT012782

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.

95 S PARK ST, Mount Union, PA 17066

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Secondary Practice Locations 2

Location 175 E 3rd StDunkirk, NY 14048-2239 · Phone (716) 363-6050 · Fax (833) 974-1992

Location 2926 West 38th Street, Dr. Kevin CappErie, PA 16508 · Phone (814) 866-1960 · Fax (814) 866-1935

Other Identifiers 3

Other0266678PA · Cigna

Other2538602PA · Highmark Bcbs

Medicaid1024989030002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Charles Capp Do 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 ID7416143284

PECOS Enrollment IDI20190626001423

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 Reassignments

Medicare enrollment records show Kevin Capp reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Broad Top Area Medical Center, Inc

Same address

Federally Qualified Health Center (FQHC)

95 S PARK ST
Mount Union, PA 17066

Reassigned Medicare billing, Pennsylvania enrollment
31 clinicians in this Medicare group

NPI 1174039408 (815) 542-8627

Dubois Regional Medical Center

69 mi

Emergency Medicine

100 HOSPITAL AVE
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
168 clinicians in this Medicare group

NPI 1992802391 (814) 371-2200

The Chautauqua Center, Inc

121 mi

Federally Qualified Health Center (FQHC)

2646 W STATE ST
Olean, NY 14760

Reassigned Medicare billing, New York enrollment
63 clinicians in this Medicare group

NPI 1629869995 (716) 484-4334

Multi-Cultural Health Evaluation Delivery Systems Inc

165 mi

Federally Qualified Health Center (FQHC)

2928 PEACH ST
Erie, PA 16508

Reassigned Medicare billing, Pennsylvania enrollment
15 clinicians in this Medicare group

NPI 1730227307 (814) 453-6229

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390062

Location105 Nason DriveRoaring Spring, PA 16673 · Blair County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390117

Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17066 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 3

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

3 suppliers18 claims34 services$5.04 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 suppliers40 claims40 services$20.20 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 suppliers47 claims47 services$114.10 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 2

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

DAWN M MILLS PAC

Physician Assistant (Medical)

95 S PARK ST
MOUNT UNION, PA 17066

Huntingdon County (814) 542-8627

BROAD TOP AREA MEDICAL CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

95 S PARK ST
MOUNT UNION, PA 17066

Huntingdon County (815) 542-8627

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 Kevin Capp's NPI number?

The NPI number for Kevin Capp is 1588800155. It was assigned to this individual provider in the NPPES registry on December 31, 2008.

Where is Kevin Capp located?

Kevin Capp practices at 95 S Park St, Mount Union, PA 17066. The listed phone number is (814) 542-8627.

What is Kevin Capp's specialty?

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

Is Kevin Capp enrolled in Medicare?

Yes. Kevin Capp 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.

Which organizations bill Medicare for Kevin Capp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Capp reassigns Medicare benefits to 4 organizations: Broad Top Area Medical Center, Inc (Mount Union, PA), Dubois Regional Medical Center (Du Bois, PA), The Chautauqua Center, Inc (Olean, NY) and Multi-Cultural Health Evaluation Delivery Systems Inc (Erie, PA). Each 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 Kevin Capp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Capp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kevin 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.

Is Kevin Capp affiliated with any hospitals?

According to CMS data, Kevin Capp is affiliated with Geisinger-Lewistown Hospital, Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Kevin Capp was last updated on June 6, 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.