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ERIN CAPONE MD
NPI 1871734830
Psychiatry & Neurology - Psychiatry in New Orleans, LA

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
3600 PRYTANIA ST STE 72, NEW ORLEANS, LA 70115(504) 897-5144(504) 894-8744 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erin Capone Md NPPES

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

ERIN CAPONE MD (NPI 1871734830) is an individual psychiatry provider in New Orleans, Louisiana, licensed in Louisiana (MD.205517) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2009).

NPPES Registry Identity

NPI1871734830
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameERIN CAPONECredential: MD
Location Address3600 PRYTANIA ST STE 72New Orleans, LA 70115-3672
Mailing Address3600 Prytania St Ste 72New Orleans, LA 70115-3672 · (504) 897-5144 · Fax (504) 894-8744
Phone(504) 897-5144
Fax(504) 894-8744
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2009
Enumeration DateMarch 20, 2009
Last NPPES UpdateJuly 15, 2014
✔ NPI 1871734830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in LA · MD.205517
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3600 PRYTANIA ST STE 72, New Orleans, LA 70115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Erin Capone 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 ID5698994010
PECOS Enrollment IDI20140917002315
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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
$170.30 typical visit price
range $55.50 – $170.30
Typical copayment $42.57 (range $13.87 – $42.57)
Most-billed visit code 99205
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

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.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

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 Erin Capone's NPI number?

The NPI number for Erin Capone is 1871734830. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Erin Capone located?

Erin Capone practices at 3600 Prytania St Ste 72, New Orleans, LA 70115. The listed phone number is (504) 897-5144.

What is Erin Capone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Erin Capone enrolled in Medicare?

Yes. Erin Capone 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 Erin Capone accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Erin Capone 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 Erin Capone was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.