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ANTHONY JAMES CAPRIO MD
NPI 1659459659
Internal Medicine in Charlotte, NC

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1021 MOREHEAD MEDICAL DR, STE A, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 47 more (50 updates tracked since 2017).

About Anthony James Caprio Md NPPES

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

ANTHONY JAMES CAPRIO MD (NPI 1659459659) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2005-00922) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1659459659
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY JAMES CAPRIOCredential: MD
Location Address1021 MOREHEAD MEDICAL DR, STE ACharlotte, NC 28204-2990
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 442-2000
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 25, 202550 updates tracked since enumeration
✔ NPI 1659459659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2005-00922
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 ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2005-00922 (NC)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 2005-00922 (NC)
1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370
Location 21801 Rozzelles Ferry RdCharlotte, NC 28208-4228 · Phone (704) 446-9987
Location 31106 Reynolds St, Ste 100Monroe, NC 28112-4375 · Phone (704) 289-5443
Location 42001 Vail Ave, Ste 400Charlotte, NC 28207-1248 · Phone (704) 304-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Anthony James Caprio 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 ID4688649700
PECOS Enrollment IDI20050629000538
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 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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
55 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 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.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

ARMIDA PARALA-METZ MD
Internal Medicine (Hospice and Palliative Medicine)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MANISHA BHUTANI MD
Internal Medicine (Hematology)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
TRISHA WOOTEN FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
VALERIE DENISE TAYLOR PA
Physician Assistant
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MICHAEL SHELDON RICHARDSON MD
Internal Medicine
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
LEAH HOWE CUPP FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
DEBA SARMA MD
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
PETER EARL CLARK MD
Urology
1021 MOREHEAD MEDICAL DR, STE 6100
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000

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 Anthony Caprio's NPI number?

The NPI number for Anthony Caprio is 1659459659. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Anthony Caprio located?

Anthony Caprio practices at 1021 Morehead Medical Dr Ste A, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Anthony Caprio's specialty?

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

Is Anthony Caprio enrolled in Medicare?

Yes. Anthony Caprio 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 Anthony Caprio accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Anthony Caprio 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 Anthony Caprio affiliated with any hospitals?

According to CMS data, Anthony Caprio is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Anthony Caprio was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.