DR. ANTONIO CAPONE JR. MD
NPI 1760411664
Ophthalmology - Retina Specialist in Royal Oak, MI

Q: What is Antonio Capone's NPI number?

The NPI number for Antonio Capone is 1760411664. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Q: What is Antonio Capone's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Capone was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 02, 2006PECOS EnrolledAccepts Medicare Assignment

95.6/100

CMS Quality Rating

3555 W 13 MILE RD, LL-20, ROYAL OAK, MI 48073(248) 288-2280(248) 288-5644 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2020, Jan 8, 2018 (2 updates tracked since 2018).

On this page

About Dr. Antonio Capone Jr. Md NPPES

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

DR. ANTONIO CAPONE JR. MD (NPI 1760411664) is an individual retina specialist in Royal Oak, Michigan, licensed in Michigan (4301075697) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Warren Alpert Medical School Of Brown University (1983).

NPPES Registry Identity

NPI1760411664

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. ANTONIO CAPONE JR.Credential: MD

Location Address3555 W 13 MILE RD, LL-20Royal Oak, MI 48073-6710

Mailing Address39650 Orchard Hill Pl, 200Novi, MI 48375-5391 · (248) 319-0161 · Fax (248) 319-0170

Phone(248) 288-2280

Fax(248) 288-5644

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1983

Enumeration DateJuly 2, 2006

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1760411664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in MI · 4301075697

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 4301075697 (MI)

3555 W 13 MILE RD, Royal Oak, MI 48073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Antonio Capone Jr. 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 ID3678485174

PECOS Enrollment IDI20060921000536

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

6,060 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,003 services355 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.

751 services237 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

685 services28 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

680 services132 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

662 services62 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.

335 services226 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

75 services63 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

65 services21 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

61 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services36 patients

1d and 2d ultrasound scan of eye tissue and structures 76510

A 1D and 2D ultrasound scan of the eye is a non-invasive process that uses sound waves to create images of the eye's inner structures. This helps in detecting abnormalities or issues in the eye tissue. The procedure is safe, quick, and painless.

30 services20 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

30 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

95.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORDAN BLACK MD

Neurological Surgery

3555 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 982-0400

DR. TAREK SHAWKY HASSAN MD

Ophthalmology (Retina Specialist)

3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073

Oakland County (248) 288-2280

ASSOCIATED RETINAL CONSULTANTS, PC

Ophthalmology

3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073

Oakland County (248) 288-2280

KATHERINE MARY LYNCH AU.D

Audiologist

3555 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 551-5700

DR. JEREMY D WOLFE MD

Ophthalmology (Retina Specialist)

3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073

Oakland County (248) 288-2280

LISA JANE FAIA M.D.

Ophthalmology (Retina Specialist)

3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073

Oakland County (248) 288-2280

MARIE CASSANDRE O VANDERVOORD

Nurse Practitioner (Pediatrics)

3555 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 551-3302

WILLIAM BEAUMONT HOSPITAL

General Acute Care Hospital

3555 W 13 MILE RD, N120
ROYAL OAK, MI 48073

Oakland County (248) 551-2250

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 Antonio Capone's NPI number?

The NPI number for Antonio Capone is 1760411664. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Antonio Capone located?

Antonio Capone practices at 3555 W 13 Mile Rd Ll-20, Royal Oak, MI 48073. The listed phone number is (248) 288-2280.

What is Antonio Capone's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Antonio Capone enrolled in Medicare?

Yes. Antonio Capone 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 Antonio Capone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Antonio Capone 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 Antonio Capone affiliated with any hospitals?

According to CMS data, Antonio Capone is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Antonio Capone was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.