CLAIRE MEGAN CAPOBIANCO
NPI 1760661078
Podiatrist - Foot & Ankle Surgery in Lewes, DE

Active since November 02, 2007PECOS EnrolledAccepts Medicare Assignment
80.07/100
CMS Quality Rating
12100 BLACK SWAN DRIVE, SUITE 201, LEWES, DE 19958(302) 644-3311(302) 644-3300 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2020, Feb 16, 2018 (2 updates tracked since 2018).

About Claire Megan Capobianco NPPES

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

CLAIRE MEGAN CAPOBIANCO (NPI 1760661078) is an individual foot & ankle surgery provider in Lewes, Delaware, licensed in Delaware (E10000199) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lewes, and is a graduate of Temple University School Of Medicine (2006).

NPPES Registry Identity

NPI1760661078
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCLAIRE MEGAN CAPOBIANCO
Location Address12100 BLACK SWAN DRIVE, SUITE 201Lewes, DE 19958-4988
Mailing Address211 Executive Dr Ste 11Newark, DE 19702-3358 · (302) 451-6913 · Fax (302) 368-7756
Fax(302) 644-3300
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2006
Enumeration DateNovember 2, 2007
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1760661078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in DE · E10000199✔ Licensed in TX · 1900✔ Licensed in WA · PL00000803
12100 BLACK SWAN DRIVE, Lewes, DE 19958

Other Names 1

Professional Name (2)Dr. Claire Megan Coates Dpm

Secondary Practice Location 1

Location 11539 Savannah Rd, Suite 203Lewes, DE 19958-1655 · Phone (302) 644-3980 · Fax (302) 644-2804

Other Identifiers 19

Other1760661078Perdue Farms, Inc.
Other1760661078Community Health Plan
Other1760661078Eastern Sussex Physicians Organization (espo)
Other1760661078Coventry Health Care Of Delaware
Other1760661078One Net Ppo, Mamsi, Optimum Choice, M.d. Ipa
Other1760661078Health Net Federal Services - Tricare/champus
Other203612102TX · Cshcn
Other349330Unison Health Plan
Other1760661078Multiplan, Inc.
Medicaid203612101TX
Other1760661078Cigna
Other1760661078Private Healthcare Systems/unicare
Other1760661078United Health Care
Other1760661078Devon Health Services
Other1760661078Corvel / Corcare
Medicaid1760661078DE
Other1760661078Union Labor Life Insurance Company
Other1184681488Commercial Insurances
Other1760661078Great West Healthcare

Accepted Insurance

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

Claire Megan Capobianco 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 ID1951453059
PECOS Enrollment IDI20101029000194
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 Reassignment

Medicare enrollment records show Claire Capobianco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
12100 BLACK SWAN DRIVE, SUITE 201
Lewes, DE 19958
  • Reassigned Medicare billing, Delaware enrollment
  • 85 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 27

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.
1,277 services763 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
778 services469 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
635 services150 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.
559 services378 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
390 services166 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
346 services80 patients

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.

80.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.59
Promoting Interoperability100
Improvement Activities40
Cost54.98

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
90%41 patients4/55-star benchmark: 95%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
65%552 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%5,160 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,456 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
95%58 patients4/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,057 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%2,312 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
52%1,215 patients3/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 1,477 patients
92%1,477 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%2,221 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%2,221 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,215 patients
0%1,215 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier16 claims32 services$61.35 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier14 claims84 services$37.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Anesthesiology
12100 BLACK SWAN DRIVE, SUITE 201
LEWES, DE 19958
Orthopaedic Surgery
12100 BLACK SWAN DRIVE, SUITE 201
LEWES, DE 19958
Podiatrist (Foot & Ankle Surgery)
12100 BLACK SWAN DRIVE, SUITE 201
LEWES, DE 19958
Orthopaedic Surgery
12100 BLACK SWAN DRIVE, SUITE 201
LEWES, DE 19958
Physician Assistant
12100 BLACK SWAN DRIVE, SUITE 201
LEWES, DE 19958
Surgery (Surgery of the Hand)
12100 BLACK SWAN DRIVE, SUITE 201
LEWES, DE 19958
Physical Therapist
12100 BLACK SWAN DRIVE, SUITE 202
LEWES, DE 19958
Chiropractor
12100 BLACK SWAN DRIVE, SUITE 103
LEWES, DE 19958

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 Claire Capobianco's NPI number?

The NPI number for Claire Capobianco is 1760661078. It was assigned to this individual provider in the NPPES registry on November 2, 2007. The provider is also known as Dr. Claire Megan Coates Dpm.

Where is Claire Capobianco located?

Claire Capobianco practices at 12100 Black Swan Drive Suite 201, Lewes, DE 19958. The listed phone number is (302) 644-3311.

What is Claire Capobianco's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Claire Capobianco enrolled in Medicare?

Yes. Claire Capobianco 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 organization bills Medicare for Claire Capobianco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Capobianco reassigns Medicare benefits to First State Orthopaedics PA (Lewes, DE). The 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 Claire Capobianco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Capobianco accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Claire Capobianco 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.

When was this NPI record last updated?

The NPPES record for Claire Capobianco was last updated on January 23, 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.