REBECCA JEANNE KAPOLKA M.D.
NPI 1619387776
Internal Medicine - Pulmonary Disease in Johns Creek, GA

Q: What is Rebecca Kapolka's NPI number?

The NPI number for Rebecca Kapolka is 1619387776. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Q: What is Rebecca Kapolka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Kapolka was last updated on April 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 29, 2014PECOS Enrolled

92.26/100

CMS Quality Rating

6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097(678) 474-7000 Get Directions Write a Review

NPPES record last updated: April 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Rebecca Jeanne Kapolka M.d. NPPES

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

REBECCA JEANNE KAPOLKA M.D. (NPI 1619387776) is an individual pulmonary disease provider in Johns Creek, Georgia, licensed in Georgia (81362) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619387776

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameREBECCA JEANNE KAPOLKACredential: M.D.

Location Address6325 HOSPITAL PKWYJohns Creek, GA 30097-5775

Mailing Address523 Carlyle LkDecatur, GA 30033-4619 · (727) 418-8284

Phone(678) 474-7000

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 29, 2014

Last NPPES UpdateApril 3, 2021

NPPES CertifiedApril 3, 2021

✔ NPI 1619387776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in GA · 81362

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

6325 HOSPITAL PKWY, Johns Creek, GA 30097

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Jeanne Kapolka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739304767

PECOS Enrollment IDI20210811001692, I20251208000745

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 4

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.

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.

72 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

51 services35 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.

18 services16 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440185

Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

92.26/100

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

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

LESLEY DANIELLE SALVATIERRA CSFA

Specialist/Technologist, Other (Surgical Assistant)

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-7000

ELENA BELYKH MD

Hospitalist

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-7038

JEREMY WHITLEY M.D.

Emergency Medicine

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-7100

DR. JONATHON BLAKE HENDRIX CRNA

Anesthesiology (Critical Care Medicine)

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-7000

SUNG EUN LEE

Registered Nurse

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 520-7690

BRANDI WOOD M.D.

Obstetrics & Gynecology

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-7000

PAULA JEAN GUNTER MARTIN CRNA

Nurse Anesthetist, Certified Registered

6325 HOSPITAL PKWY, EMORY JOHNS CREEK HOSP
JOHNS CREEK, GA 30097

Gwinnett County (404) 778-8311

SRIVIDYA KODURU

Family Medicine

6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-7038

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 Rebecca Kapolka's NPI number?

The NPI number for Rebecca Kapolka is 1619387776. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Rebecca Kapolka located?

Rebecca Kapolka practices at 6325 Hospital Pkwy, Johns Creek, GA 30097. The listed phone number is (678) 474-7000.

What is Rebecca Kapolka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rebecca Kapolka enrolled in Medicare?

Yes. Rebecca Kapolka is registered in the Medicare PECOS enrollment system.

What insurance does Rebecca Kapolka accept?

Health plans from Alliant Health Plans, Inc. list Rebecca Kapolka 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 Rebecca Kapolka affiliated with any hospitals?

According to CMS data, Rebecca Kapolka is affiliated with Hamilton Medical Center and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Rebecca Kapolka was last updated on April 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.