ELLEN MARIE CAPAROSA MD
NPI 1710374848
Colon & Rectal Surgery in Atlanta, GA

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5665 PEACHTREE DUNWOODY RD BLDG MOT 1, ATLANTA, GA 30342(404) 778-3656(404) 778-4080 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellen Marie Caparosa Md NPPES

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

ELLEN MARIE CAPAROSA MD (NPI 1710374848) is an individual colon & rectal surgery provider in Atlanta, Georgia, licensed in Georgia (PENDING) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710374848
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameELLEN MARIE CAPAROSACredential: MD
Location Address5665 PEACHTREE DUNWOODY RD BLDG MOT 1Atlanta, GA 30342-1701
Mailing Address2972 Lookout Pl NeAtlanta, GA 30305-3272 · (412) 758-1298
Fax(404) 778-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1710374848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in GA · PENDING
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
5665 PEACHTREE DUNWOODY RD BLDG MOT 1, Atlanta, GA 30342

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

Ellen Marie Caparosa 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 ID6305165846
PECOS Enrollment IDI20221103003035
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

2

Medicare enrollment records show Ellen Caparosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 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.

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Ellen Caparosa's NPI number?

The NPI number for Ellen Caparosa is 1710374848. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Ellen Caparosa located?

Ellen Caparosa practices at 5665 Peachtree Dunwoody Rd Bldg Mot 1, Atlanta, GA 30342. The listed phone number is (404) 778-3656.

What is Ellen Caparosa's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Ellen Caparosa enrolled in Medicare?

Yes. Ellen Caparosa 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 Ellen Caparosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Caparosa reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Ellen Caparosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Caparosa accept?

Health plans from Oscar Health list Ellen Caparosa 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 Ellen Caparosa affiliated with any hospitals?

According to CMS data, Ellen Caparosa is affiliated with Emory University Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Caparosa was last updated on August 5, 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.