JOHN KIRK CAPUA D.O.
NPI 1811159254
Neurological Surgery in Modesto, CA

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
1401 SPANOS CT, SUITE 130, MODESTO, CA 95355(209) 524-1211 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Kirk Capua D.o. NPPES

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

JOHN KIRK CAPUA D.O. (NPI 1811159254) is an individual neurological surgery provider in Modesto, California, licensed in California (20A11031) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1811159254
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOHN KIRK CAPUACredential: D.O.
Location Address1401 SPANOS CT, SUITE 130Modesto, CA 95355-2810
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateAugust 3, 2015
NPI 1811159254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in CA · 20A11031
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1401 SPANOS CT, Modesto, CA 95355

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 Kirk Capua D.o. 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 ID1850510371
PECOS Enrollment IDI20140916001393
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
96 services96 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.
37 services32 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.
32 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

Pharmacist
1401 SPANOS CT, STE 105
MODESTO, CA 95355
Clinic/Center (Oncology, Radiation)
1401 SPANOS CT
MODESTO, CA 95355
Physician Assistant
1401 SPANOS CT, SUITE 130
MODESTO, CA 95355
Internal Medicine (Hematology & Oncology)
1401 SPANOS CT, #134
MODESTO, CA 95355
Orthopaedic Surgery
1401 SPANOS CT, SUITE 101
MODESTO, CA 95355
Clinical Nurse Specialist (Medical-Surgical)
1401 SPANOS CT, SUITE 103
MODESTO, CA 95355
Physician Assistant
1401 SPANOS CT, SUITE 125
MODESTO, CA 95355
Obstetrics & Gynecology
1401 SPANOS CT
MODESTO, CA 95355

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 Capua's NPI number?

The NPI number for John Capua is 1811159254. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is John Capua located?

John Capua practices at 1401 Spanos Ct Suite 130, Modesto, CA 95355. The listed phone number is (209) 524-1211.

What is John Capua's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is John Capua enrolled in Medicare?

Yes. John Capua 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 John Capua was last updated on August 3, 2015. 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.