DR. LOUIS B KAPNER MD
NPI 1720015126
Family Medicine in Rochester, NY

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
800 CARTER ST, ROCHESTER, NY 14621(585) 338-1200(585) 544-1359 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Louis B Kapner Md NPPES

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

DR. LOUIS B KAPNER MD (NPI 1720015126) is an individual family medicine provider in Rochester, New York, licensed in New York (133242) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (1972).

NPPES Registry Identity

NPI1720015126
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LOUIS B KAPNERCredential: MD
Location Address800 CARTER STRochester, NY 14621-2604
Mailing Address1850 Brighton Henrietta Town Line Rd, C/o Credentialing DepartmentRochester, NY 14623-2532 · (585) 452-8114 · Fax (585) 452-8111
Fax(585) 544-1359
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1972
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 19, 2016
✔ NPI 1720015126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 133242
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.
800 CARTER ST, Rochester, NY 14621

Other Identifiers 5

Medicare UPINB74822NY
Medicare PINIA1250NY
Medicaid01252157NY
Medicare PINY70406NY
Medicare PINJ400014215NY

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. Louis B Kapner 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 ID6406861210
PECOS Enrollment IDI20060215000698
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 Louis Kapner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
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.

Physician Assistant
800 CARTER ST
ROCHESTER, NY 14621
Pharmacist
800 CARTER ST
ROCHESTER, NY 14621
Social Worker (Clinical)
800 CARTER ST
ROCHESTER, NY 14621
Otolaryngology
800 CARTER ST
ROCHESTER, NY 14621
Clinic/Center (Urgent Care)
800 CARTER ST
ROCHESTER, NY 14621
Radiology (Diagnostic Radiology)
800 CARTER ST
ROCHESTER, NY 14621
Clinic/Center (Urgent Care)
800 CARTER ST
ROCHESTER, NY 14621
Physical Therapist
800 CARTER ST
ROCHESTER, NY 14621

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 Louis Kapner's NPI number?

The NPI number for Louis Kapner is 1720015126. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Louis Kapner located?

Louis Kapner practices at 800 Carter St, Rochester, NY 14621. The listed phone number is (585) 338-1200.

What is Louis Kapner's specialty?

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

Is Louis Kapner enrolled in Medicare?

Yes. Louis Kapner 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 Louis Kapner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Kapner reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Western New York Medical Practice P.C. (Rochester, NY). 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 Louis Kapner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Louis Kapner affiliated with any hospitals?

According to CMS data, Louis Kapner is affiliated with United Memorial Medical Center and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Louis Kapner was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.