PETE CAPLES M.D.
NPI 1720065766
Internal Medicine - Cardiovascular Disease in Cincinnati, OH

Q: What is Pete Caples's NPI number?

The NPI number for Pete Caples is 1720065766. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Pete Caples's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Pete Caples was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 30, 2005PECOS EnrolledAccepts Medicare Assignment

10506 MONTGOMERY RD, SUITE 504, CINCINNATI, OH 45242(513) 792-7800(513) 792-7807 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Pete Caples M.d. NPPES

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

PETE CAPLES M.D. (NPI 1720065766) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35039198) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1971).

NPPES Registry Identity

NPI1720065766

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePETE CAPLESCredential: M.D.

Location Address10506 MONTGOMERY RD, SUITE 504Cincinnati, OH 45242-4487

Mailing Address237 William Howard Taft Rd, 2nd Floor, Cbo 2-3Cincinnati, OH 45219-2610 · (513) 792-7800 · Fax (513) 792-7807

Phone(513) 792-7800

Fax(513) 792-7807

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1971

Enumeration DateDecember 30, 2005

Last NPPES UpdateNovember 17, 2014

✔ NPI 1720065766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35039198

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

10506 MONTGOMERY RD, Cincinnati, OH 45242

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Other Identifiers 15

Other25-20406United Healthcare

Medicaid0392089OH

Medicaid64769607KY

Medicare PIN0896402OH

Other000000019724OH · Anthem

Other110061528OH · Rr Medicare

Medicare PIN0896409OH

Other06003202Railroad Medicare

Other0641442OH · Aetna

Other311438871076OH · Caresource Medicaid Oh

Medicaid100335950IN

Medicare PIN0426466OH

Other283761OH · Amerigroup Medicaid Oh

Other39198-14OH · Humana

Medicare UPINA75696

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

Pete Caples 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.

PECOS PAC ID1355248295

PECOS Enrollment IDI20041019001480

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

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

Trihealth H LLC

0.2 mi

Pulmonary Disease

10496 MONTGOMERY RD
Cincinnati, OH 45242

Reassigned Medicare billing, Ohio enrollment
1,102 clinicians in this Medicare group

NPI 1548695638 (513) 793-2654

Trihealth G LLC

12 mi

Internal Medicine

379 DIXMYTH AVE
Cincinnati, OH 45220

Reassigned Medicare billing, Ohio enrollment
1,126 clinicians in this Medicare group

NPI 1295862944 (513) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

3%535 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

48%535 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

21%551 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

EMILY MORGAN HAMILTON PA

Physician Assistant

10506 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (936) 581-6102

KSHITIJ KAKAR MD

Surgery

10506 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 794-1601

DR. GLENN STEWART WATERS D.D.S.,M.D.

Dentist (Oral and Maxillofacial Surgery)

10506 MONTGOMERY RD, SUITE 203
CINCINNATI, OH 45242

Hamilton County (513) 791-0550

MRS. SUDHA B MAHALINGAM MD

Specialist

10506 MONTGOMERY RD, SUITE G102
CINCINNATI, OH 45242

Hamilton County (859) 363-4886

ZACHARY CHRISTOPHER HOLT M.D.

Emergency Medicine

10506 MONTGOMERY RD, SUITE 209
CINCINNATI, OH 45242

Hamilton County (513) 865-9040

DR. DENNIS A PERRY SR. D.M.D.

Dentist (Oral and Maxillofacial Surgery)

10506 MONTGOMERY RD, SUITE 203
CINCINNATI, OH 45242

Hamilton County (513) 791-0550

SAMANTHA MARIE PERRMANN PA-C

Physician Assistant

10506 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1111

MACKENZIE NICOLE STUTZMAN CNP

Nurse Practitioner

10506 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-2227

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 Pete Caples's NPI number?

The NPI number for Pete Caples is 1720065766. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Pete Caples located?

Pete Caples practices at 10506 Montgomery Rd Suite 504, Cincinnati, OH 45242. The listed phone number is (513) 792-7800.

What is Pete Caples's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pete Caples enrolled in Medicare?

Yes. Pete Caples 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 Pete Caples's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pete Caples reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Pete Caples's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pete Caples was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.