JOHN CAPINO MD
NPI 1730147612
Ophthalmology in Lowell, MA

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
83.46/100
CMS Quality Rating
1230 BRIDGE ST, MERRIMACK EYE CLINIC, LOWELL, MA 01850(978) 452-2100(978) 446-0490 Get Directions Write a Review

NPPES record last updated: August 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Capino Md NPPES

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

JOHN CAPINO MD (NPI 1730147612) is an individual ophthalmology provider in Lowell, Massachusetts, licensed in Massachusetts (57517) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1730147612
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN CAPINOCredential: MD
Location Address1230 BRIDGE ST, MERRIMACK EYE CLINICLowell, MA 01850
Mailing Address1230 Bridge St Ste 2Lowell, MA 01850-1261 · (978) 452-2100 · Fax (978) 446-0490
Fax(978) 446-0490
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 9, 2020
NPPES CertifiedAugust 9, 2020
NPI 1730147612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 57517
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1230 BRIDGE ST, Lowell, MA 01850

Other Identifiers 1

Medicaid3055914MA

Accepted Insurance

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

John Capino 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 ID3274438577
PECOS Enrollment IDI20031201000240
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.

Areas of Expertise CMS Part B claims 14

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
773 services643 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
676 services653 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
610 services583 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
363 services349 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
160 services155 patients
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.
141 services107 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01850 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

83.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost28.2

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%660 patients5/55-star benchmark: 100%
Cataract Surgery: Difference Between Planned and Final Refraction
100%157 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,490 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%158 patients
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.

Specialist
1230 BRIDGE ST
LOWELL, MA 01850
Counselor (Mental Health)
1230 BRIDGE ST
LOWELL, MA 01850
Counselor (Mental Health)
1230 BRIDGE ST
LOWELL, MA 01850
Speech-Language Pathologist
1230 BRIDGE ST
LOWELL, MA 01850
Clinic/Center (Health Service)
1230 BRIDGE ST
LOWELL, MA 01850
Emergency Medicine
1230 BRIDGE ST
LOWELL, MA 01850
Nurse Practitioner (Adult Health)
1230 BRIDGE ST
LOWELL, MA 01850
Counselor (Mental Health)
1230 BRIDGE ST
LOWELL, MA 01850

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 John Capino's NPI number?

The NPI number for John Capino is 1730147612. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is John Capino located?

John Capino practices at 1230 Bridge St Merrimack Eye Clinic, Lowell, MA 01850. The listed phone number is (978) 452-2100.

What is John Capino's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Capino enrolled in Medicare?

Yes. John Capino 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.

What insurance does John Capino accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list John Capino 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 John Capino affiliated with any hospitals?

According to CMS data, John Capino is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for John Capino was last updated on August 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.