1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Internal Medicine
  6. NPI Profile

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

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: July 26, 2026.

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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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