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DR. NICHOLAS CAPALDO MD
NPI 1932662400
Internal Medicine in Mansfield, OH

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
558 S TRIMBLE RD, MANSFIELD, OH 44906(419) 524-1410 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2024, Jul 26, 2022, Apr 10, 2019 (3 updates tracked since 2019).

About Dr. Nicholas Capaldo Md NPPES

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

DR. NICHOLAS CAPALDO MD (NPI 1932662400) is an individual internal medicine provider in Mansfield, Ohio, licensed in Ohio (35.140843) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932662400
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICHOLAS CAPALDOCredential: MD
Location Address558 S TRIMBLE RDMansfield, OH 44906-3418
Mailing Address558 S Trimble RdMansfield, OH 44906-3418
Phone(419) 524-1410
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1932662400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.140843
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.
558 S TRIMBLE RD, Mansfield, OH 44906
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Other Identifiers 1

Medicaid0482385OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Capaldo 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 ID4688903651
PECOS Enrollment IDI20220419002943
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Capaldo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Central Ohio Family Care Center, Inc
13 mi
Specialist
269 PORTLAND WAY S
Galion, OH 44833
  • Reassigned Medicare billing, Ohio enrollment
  • 252 clinicians in this Medicare group
NPI 1689822827 (419) 468-4841
Ohiohealth Corporation
55 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
178 services160 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.
104 services70 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 services86 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.
97 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 5

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

EAR NOSE THROAT HEAD & NECK SURGEONS OF NE OHIO INC
Clinic/Center (Health Service)
558 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-9952
MRS. ANNETTE K WELKER CNP
Nurse Practitioner (Family)
558 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 524-1410
DR. CARTER ELLIS BATTISTA D.O.
Anesthesiology (Pain Medicine)
558 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (567) 241-7700
MATTHEW ALLEN KOCHHEISER DO
Family Medicine
558 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 524-1410
DR. DANIEL D BURWELL DO
Family Medicine
558 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 524-1410

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 Nicholas Capaldo's NPI number?

The NPI number for Nicholas Capaldo is 1932662400. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Nicholas Capaldo located?

Nicholas Capaldo practices at 558 S Trimble Rd, Mansfield, OH 44906. The listed phone number is (419) 524-1410.

What is Nicholas Capaldo's specialty?

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

Is Nicholas Capaldo enrolled in Medicare?

Yes. Nicholas Capaldo 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.

Which organizations bill Medicare for Nicholas Capaldo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Capaldo reassigns Medicare benefits to 2 organizations: North Central Ohio Family Care Center, Inc (Galion, OH) and Ohiohealth Corporation (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Capaldo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Capaldo accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Nicholas Capaldo 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 Nicholas Capaldo affiliated with any hospitals?

According to CMS data, Nicholas Capaldo is affiliated with Ohiohealth Mansfield Hospital, Avita Ontario, Bucyrus Community Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Capaldo was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.