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MAX LEON CAPOUANO MD
NPI 1811416050
Family Medicine in Montgomery, AL

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
69.69/100
CMS Quality Rating
1801 PINE ST STE 301, MONTGOMERY, AL 36106(334) 265-5577(334) 265-5584 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 14, 2020, Dec 3, 2020, Nov 18, 2020 and 1 more (4 updates tracked since 2017).

About Max Leon Capouano Md NPPES

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

MAX LEON CAPOUANO MD (NPI 1811416050) is an individual family medicine provider in Montgomery, Alabama, licensed in Alabama (MD.41620) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811416050
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMAX LEON CAPOUANOCredential: MD
Location Address1801 PINE ST STE 301Montgomery, AL 36106-1154
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 265-5577
Fax(334) 265-5584
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateDecember 14, 20204 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1811416050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · MD.41620
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1801 PINE ST STE 301, Montgomery, AL 36106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Max Leon Capouano 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 ID9335552769
PECOS Enrollment IDI20210104001676
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 8

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 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.
357 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
135 services135 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
132 services132 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
105 services104 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.
99 services77 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

69.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.31
Promoting Interoperability99
Improvement Activities40
Cost23.49

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%43 patients
Breast Cancer Screening
47%249 patients3/55-star benchmark: 93%
Cervical Cancer Screening
24%229 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
47%530 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
58%713 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
50%668 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
5%20 patients
Diabetes: Eye Exam
5%254 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%254 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,809 patients4/55-star benchmark: 100%
e-Prescribing
97%1,473 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
55%537 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,141 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
45%986 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%934 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 66% · 1,109 patients
Patients screened: 69% · 1,109 patients
76%109 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%668 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%472 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 554 patients
Patients totalRate: 14% · 562 patients
13%562 patients3/55-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

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

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$25.94 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 2

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

MIHO SUGA MD
Family Medicine
1801 PINE ST STE 301
MONTGOMERY, AL 36106
Montgomery County (334) 265-5577
LESLEY NICOLE LOWE CRNP
Nurse Practitioner (Family)
1801 PINE ST STE 301
MONTGOMERY, AL 36106
Montgomery County (334) 265-5577

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 Max Capouano's NPI number?

The NPI number for Max Capouano is 1811416050. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Max Capouano located?

Max Capouano practices at 1801 Pine St Ste 301, Montgomery, AL 36106. The listed phone number is (334) 265-5577.

What is Max Capouano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Max Capouano enrolled in Medicare?

Yes. Max Capouano 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 Max Capouano accept?

Health plans from Blue Cross and Blue Shield of Alabama list Max Capouano 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 Max Capouano was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.