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MICHAEL T CAPPS MD
NPI 1851314652
Internal Medicine in Cary, NC

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
224 HIGH HOUSE RD, SUITE 100, CARY, NC 27513(919) 380-7531(919) 380-0686 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael T Capps Md NPPES

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

MICHAEL T CAPPS MD (NPI 1851314652) is an individual internal medicine provider in Cary, North Carolina, licensed in North Carolina (200400195) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2004).

NPPES Registry Identity

NPI1851314652
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL T CAPPSCredential: MD
Location Address224 HIGH HOUSE RD, SUITE 100Cary, NC 27513-4278
Mailing Address224 High House Rd, Suite 100Cary, NC 27513-4278 · (919) 380-7531 · Fax (919) 380-0686
Phone(919) 380-7531
Fax(919) 380-0686
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2004
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1851314652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 200400195
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.
224 HIGH HOUSE RD, Cary, NC 27513
Open in Google Maps ↗

Other Identifiers 1

Medicaid89138C6NC

Accepted Insurance

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

Michael T Capps 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 ID2163482035
PECOS Enrollment IDI20041014000849
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 7

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.
147 services109 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.
128 services73 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.
83 services83 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services12 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27513 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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
7 suppliers21 claims53 services$5.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$75.97 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$34.58 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 7

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

DAVID THOMAS OUTLAW MD
Internal Medicine
224 HIGH HOUSE RD, STE 100
CARY, NC 27513
Wake County (919) 380-7531
DR. GARY W BEAVERS
Dentist (General Practice)
224 HIGH HOUSE RD, SUITE 200
CARY, NC 27513
Wake County (919) 467-7717
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES, PA
Internal Medicine
224 HIGH HOUSE RD, SUITE 100
CARY, NC 27513
Wake County (919) 380-7531
DR. JAMES CORNELIUS WOMBLE MD
Internal Medicine
224 HIGH HOUSE RD, STE 100
CARY, NC 27513
Wake County (919) 380-7531
ERSILIA SARNO FNP
Nurse Practitioner (Family)
224 HIGH HOUSE RD, STE 100
CARY, NC 27513
Wake County (919) 380-7531
KRISTIN RUITER
Nurse Practitioner (Family)
224 HIGH HOUSE RD, SUITE 100
CARY, NC 27513
Wake County (919) 380-7531
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATION
Non-Pharmacy Dispensing Site
224 HIGH HOUSE RD, 100
CARY, NC 27513
Wake County (919) 380-1189

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 Michael Capps's NPI number?

The NPI number for Michael Capps is 1851314652. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Michael Capps located?

Michael Capps practices at 224 High House Rd Suite 100, Cary, NC 27513. The listed phone number is (919) 380-7531.

What is Michael Capps's specialty?

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

Is Michael Capps enrolled in Medicare?

Yes. Michael Capps 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 Michael Capps accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Michael Capps 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 Michael Capps affiliated with any hospitals?

According to CMS data, Michael Capps is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Michael Capps was last updated on December 21, 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.