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LISA CAPALDINI MD
NPI 1841249240
Internal Medicine in San Francisco, CA

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
7.37/100
CMS Quality Rating
45 CASTRO ST, STE 227, SAN FRANCISCO, CA 94114(415) 861-3366(415) 861-3189 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2022, Apr 17, 2020 (2 updates tracked since 2020).

About Lisa Capaldini Md NPPES

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

LISA CAPALDINI MD (NPI 1841249240) is an individual internal medicine provider in San Francisco, California, licensed in California (G54552) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1982).

NPPES Registry Identity

NPI1841249240
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA CAPALDINICredential: MD
Location Address45 CASTRO ST, STE 227San Francisco, CA 94114-1033
Mailing Address21663 Brian Ln Ste CSonora, CA 95370-9065 · (209) 586-1400 · Fax (800) 898-0558
Phone(415) 861-3366
Fax(415) 861-3189
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1982
Enumeration DateMay 10, 2006
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1841249240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G54552
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
45 CASTRO ST, San Francisco, CA 94114
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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

Lisa Capaldini 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 ID9032127683
PECOS Enrollment IDI20060323000663
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 4

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.
638 services220 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.
138 services94 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.
71 services71 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.
33 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94114 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

7.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost24.57

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims31 services$5.87 avg. paid by Medicare
Dynamic adjustable toe extension/flexion device, includes soft interface material E1830
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$99.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$179.09 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 20

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

JENNIFER ALICIA THALER MS CCC- SLP
Speech-Language Pathologist
45 CASTRO ST
SAN FRANCISCO, CA 94114
San Francisco County (415) 600-6000
ALYSSA CLAIRE GHIRINGHELLI MSW
Social Worker
45 CASTRO ST
SAN FRANCISCO, CA 94114
San Francisco County (415) 600-5555
DR. BRIAN MICHAEL PARRETT M.D.
Plastic Surgery
45 CASTRO ST
SAN FRANCISCO, CA 94114
San Francisco County (415) 565-6888
SEMI HAN MD
Internal Medicine
45 CASTRO ST
SAN FRANCISCO, CA 94114
San Francisco County (415) 600-6000
MR. CARL STEIN MHS, PA-C
Physician Assistant (Medical)
45 CASTRO ST, SUITE 402
SAN FRANCISCO, CA 94114
San Francisco County (415) 861-2400
MS. TIFFANY TANG MBA, OTR, CHT, CEAS
Occupational Therapist
45 CASTRO ST, SOUTH TOWER LEVEL A, OUTPATIENT REHAB
SAN FRANCISCO, CA 94114
San Francisco County (415) 600-5855
CANDICE AUSTIN DENBY PA
Physician Assistant (Surgical)
45 CASTRO ST, SUITE 410
SAN FRANCISCO, CA 94114
San Francisco County (415) 565-6884
DR. WILLIAM J. KAPLA MD
Family Medicine (Adult Medicine)
45 CASTRO ST, SUITE #432
SAN FRANCISCO, CA 94114
San Francisco County (415) 865-3737

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 Lisa Capaldini's NPI number?

The NPI number for Lisa Capaldini is 1841249240. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Lisa Capaldini located?

Lisa Capaldini practices at 45 Castro St Ste 227, San Francisco, CA 94114. The listed phone number is (415) 861-3366.

What is Lisa Capaldini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lisa Capaldini enrolled in Medicare?

Yes. Lisa Capaldini 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 Lisa Capaldini was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.