DR. MICHAEL CAPARELLI M.D.
NPI 1689051252
Surgery in Fairfield, OH
About Dr. Michael Caparelli M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL CAPARELLI M.D. (NPI 1689051252) is an individual surgery provider in Fairfield, Ohio, licensed in Ohio (35.139595) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Cincinnati.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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. Michael Caparelli M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Caparelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jfk Medical Center
Acute Care Hospitals · Edison, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Caparelli's NPI number?
The NPI number for Michael Caparelli is 1689051252. It was assigned to this individual provider in the NPPES registry on May 2, 2015.
Where is Michael Caparelli located?
Michael Caparelli practices at 3050 Mack Rd Ste 310, Fairfield, OH 45014. The listed phone number is (513) 924-8895.
What is Michael Caparelli's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Michael Caparelli enrolled in Medicare?
Yes. Michael Caparelli 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 organization bills Medicare for Michael Caparelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Caparelli reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Michael Caparelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Caparelli accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Michael Caparelli 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 Michael Caparelli affiliated with any hospitals?
According to CMS data, Michael Caparelli is affiliated with Jfk Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Caparelli was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Michael Caparelli, M.D. · NPI 1689051252
Surgery physician in Fairfield, Ohio. Individual provider, active in the CMS NPPES registry since May 2, 2015.
## Identity
- **NPI:** 1689051252 (Entity type: Individual)
- **Enumerated:** May 2, 2015
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 35.139595 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3050 MACK RD STE 310, Fairfield, OH 45014-5376
- **Phone:** (513) 924-8895 · **Fax:** (513) 924-8909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689051252) · Data from the CMS NPPES public registry.