DR. ANDREA JANE CAPALBO M.D.
NPI 1861533887
Obstetrics & Gynecology - Gynecology in New York, NY

Active since February 11, 2007Opted out of Medicare · through Apr 12, 2028
161 MADISON AVE, NEW YORK, NY 10016(212) 725-1390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrea Jane Capalbo M.d. NPPES

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

DR. ANDREA JANE CAPALBO M.D. (NPI 1861533887) is an individual gynecology provider in New York, New York, licensed in New York (154905) and active in the NPI registry since February 2007. She has opted out of Medicare through April 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861533887
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. ANDREA JANE CAPALBOCredential: M.D.
Location Address161 MADISON AVENew York, NY 10016-5421
Mailing Address258 Victory BlvdNew Rochelle, NY 10804-2304 · (914) 654-0314 · Fax (914) 654-1042
Sole ProprietorYes
Enumeration DateFebruary 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1861533887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NY · 154905
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
161 MADISON AVE, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Andrea Jane Capalbo M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2016 through April 12, 2028.

Opt-Out Effective DateApril 12, 2016
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Physical Medicine & Rehabilitation (Pain Medicine)
161 MADISON AVE, SUITE 11E
NEW YORK, NY 10016
Internal Medicine (Infectious Disease)
161 MADISON AVE, SUITE 9NE
NEW YORK, NY 10016
Dentist (Prosthodontics)
161 MADISON AVE
NEW YORK, NY 10016
Internal Medicine
161 MADISON AVE, SUITE 6SE
NEW YORK, NY 10016
Ophthalmology
161 MADISON AVE, SUITE 5SE
NEW YORK, NY 10016
Pharmacist
161 MADISON AVE
NEW YORK, NY 10016
Ophthalmology
161 MADISON AVE, 5NE
NEW YORK, NY 10016
Pharmacy
161 MADISON AVE
NEW YORK, NY 10016

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 Andrea Capalbo's NPI number?

The NPI number for Andrea Capalbo is 1861533887. It was assigned to this individual provider in the NPPES registry on February 11, 2007.

Where is Andrea Capalbo located?

Andrea Capalbo practices at 161 Madison Ave, New York, NY 10016. The listed phone number is (212) 725-1390.

What is Andrea Capalbo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Andrea Capalbo enrolled in Medicare?

No. Andrea Capalbo has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Andrea Capalbo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.