Active NPI 1316207053 Individual Practitioner Male Practitioner

Dr. Brian Michael Capogna , MD

Orthopaedic Surgery • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Capogna, MD is a certified Orthopaedic Surgery practicing in Birmingham, AL. With approximately 14 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 2012, Dr. Capogna delivers high-quality medical care to the local community at 805 SAINT VINCENTS DR STE 100.

Dr. Capogna is affiliated with Orthopaedic And Neurosurgery Specialists, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

805 Saint Vincents Dr Ste 100

Birmingham, AL 352051638

Telephone 2059393699

Fax 2055817155

Associated Practice Facility / Clinic

🏢 Andrews Sports Medicine And Orthopaedic Center Facility NPI 1679617526

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Birmingham, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -8.9 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

113 Specialists

Practicing in Birmingham, AL (368 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capogna (14 Years) 14 Yrs

Birmingham Specialty Average (22.9 Years) 22.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	338	$340.91	$145.07
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	328	185	$36.78	$7.00
20610 Aspiration and/or injection of fluid from large joint	320	229	$472.11	$84.52
99213 Established patient office or other outpatient visit, typically 15 minutes	242	181	$232.00	$103.44
73562 X-ray of knee, 3 views	190	112	$100.00	$46.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$528.00	$191.28
73564 X-ray of knee, 4 or more views	174	166	$113.00	$55.22
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	172	71	$800.00	$513.80
73030 X-ray of shoulder, minimum of 2 views	139	109	$84.00	$40.21
73502 X-ray of hip, 2-3 views	98	79	$218.72	$54.64
73721 Mri scan of leg joint without contrast	33	31	$2000.00	$241.47
72110 X-ray of lower and sacral spine, minimum of 4 views	27	26	$125.00	$60.29
73221 Mri scan of arm joint without contrast	20	18	$2000.00	$236.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$635.00	$192.29
27447 Replacement of knee joint, both sides of knee	15	15	$9445.00	$1518.03
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	11	$6294.00	$199.34
29823 Removal of extensive shoulder joint tissue using an endoscope	12	11	$5722.00	$182.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	438	348	$460.03	$148.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	257	154	$42.21	$6.59
73564 X-ray of knee, 4 or more views	223	176	$169.08	$56.03
99213 Established patient office or other outpatient visit, typically 15 minutes	205	158	$350.30	$105.32
20610 Aspiration and/or injection of fluid from large joint	161	127	$442.19	$80.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$674.15	$193.87
73030 X-ray of shoulder, minimum of 2 views	125	94	$113.92	$41.82
73502 X-ray of hip, 2-3 views	102	86	$241.51	$56.21
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	100	75	$606.59	$122.02
73562 X-ray of knee, 3 views	90	72	$135.33	$48.67
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	72	48	$1474.17	$510.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$755.62	$198.61
73610 X-ray of ankle, minimum of 3 views	30	24	$140.67	$44.73
72110 X-ray of lower and sacral spine, minimum of 4 views	27	27	$125.00	$61.66
73721 Mri scan of leg joint without contrast	20	19	$2000.00	$233.11
73590 X-ray of lower leg, 2 views	16	15	$114.34	$38.33
29530 Placement of strapping to knee	15	15	$256.10	$17.36
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$233.57	$48.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	310	$780.37	$151.33
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	370	142	$39.00	$6.64
73564 X-ray of knee, 4 or more views	236	189	$284.30	$57.03
99213 Established patient office or other outpatient visit, typically 15 minutes	234	170	$551.10	$107.20
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	226	137	$623.50	$113.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$1018.20	$201.77
73502 X-ray of hip, 2-3 views	102	89	$288.55	$58.33
73030 X-ray of shoulder, minimum of 2 views	97	75	$212.95	$43.44
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	96	62	$2500.00	$818.28
20610 Aspiration and/or injection of fluid from large joint	75	61	$417.36	$79.48
72100 X-ray of lower and sacral spine, 2-3 views	59	56	$245.90	$48.84
73562 X-ray of knee, 3 views	54	37	$251.40	$50.97
29530 Placement of strapping to knee	51	45	$256.12	$20.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	28	$1177.80	$231.60
73721 Mri scan of leg joint without contrast	24	21	$2000.00	$188.48
73630 X-ray of foot, minimum of 3 views	22	13	$213.30	$43.05
73610 X-ray of ankle, minimum of 3 views	20	18	$228.20	$46.13
73552 X-ray of thigh bone, minimum 2 views	18	16	$219.35	$42.05
73590 X-ray of lower leg, 2 views	11	11	$196.50	$39.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	339	140	$39.00	$6.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	232	$599.94	$157.50
20610 Aspiration and/or injection of fluid from large joint	253	161	$441.99	$75.91
99213 Established patient office or other outpatient visit, typically 15 minutes	226	161	$432.16	$111.39
73564 X-ray of knee, 4 or more views	189	154	$287.17	$57.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$888.72	$205.85
73030 X-ray of shoulder, minimum of 2 views	94	77	$200.32	$43.06
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	81	59	$2500.00	$1219.00
73502 X-ray of hip, 2-3 views	76	68	$255.85	$58.32
73562 X-ray of knee, 3 views	72	51	$237.76	$50.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$1194.46	$238.16
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	35	30	$626.53	$118.89
73721 Mri scan of leg joint without contrast	25	24	$1675.45	$192.69
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$228.80	$49.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$560.00	$137.55
73610 X-ray of ankle, minimum of 3 views	18	11	$201.60	$46.14
73552 X-ray of thigh bone, minimum 2 views	14	14	$230.86	$44.36
73080 X-ray of elbow, minimum of 3 views	13	13	$210.38	$40.52
73221 Mri scan of arm joint without contrast	12	12	$1573.25	$207.50
72040 X-ray of upper spine, 2-3 views	11	11	$232.45	$49.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	276	$385.17	$89.59
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	297	116	$39.00	$7.03
20610 Aspiration and/or injection of fluid from large joint	250	144	$389.40	$71.51
73564 X-ray of knee, 4 or more views	176	133	$291.00	$53.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$560.80	$129.79
73030 X-ray of shoulder, minimum of 2 views	74	57	$194.00	$40.77
73502 X-ray of hip, 2-3 views	65	61	$245.00	$55.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$1042.05	$240.45
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	60	45	$2500.00	$1188.33
73562 X-ray of knee, 3 views	60	45	$234.00	$48.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$475.00	$130.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	55	43	$18.00	$0.03
72100 X-ray of lower and sacral spine, 2-3 views	36	35	$256.00	$45.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$864.00	$198.47
73721 Mri scan of leg joint without contrast	27	26	$1720.00	$203.13
73221 Mri scan of arm joint without contrast	16	11	$1500.00	$187.56
73610 X-ray of ankle, minimum of 3 views	16	12	$194.00	$43.06
29530 Placement of strapping to knee	12	11	$154.17	$29.18
73080 X-ray of elbow, minimum of 3 views	11	11	$219.00	$38.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	702	426	$383.00	$85.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	392	179	$39.00	$6.78
20610 Aspiration and/or injection of fluid from large joint	327	217	$375.00	$67.76
73564 X-ray of knee, 4 or more views	297	249	$291.00	$49.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	286	286	$560.00	$126.73
73502 X-ray of hip, 2-3 views	117	101	$245.00	$51.13
73030 X-ray of shoulder, minimum of 2 views	99	76	$194.00	$35.97
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	73	53	$2171.23	$1272.75
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	66	60	$18.00	$0.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	65	$949.46	$230.55
73562 X-ray of knee, 3 views	50	44	$234.00	$44.53
72100 X-ray of lower and sacral spine, 2-3 views	41	40	$261.00	$43.42
73610 X-ray of ankle, minimum of 3 views	39	32	$194.00	$39.90
72120 X-ray lower and sacral spine including bending views 2 or 3 views	26	25	$272.00	$51.11
73552 X-ray of thigh bone, minimum 2 views	26	23	$234.00	$39.79
73630 X-ray of foot, minimum of 3 views	25	15	$217.00	$37.35
73590 X-ray of lower leg, 2 views	25	20	$194.00	$35.23
73560 X-ray of knee, 1-2 views	23	12	$195.00	$38.62
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	20	17	$2500.00	$1142.02
73721 Mri scan of leg joint without contrast	19	17	$1720.00	$180.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	171	121	$372.82	$84.63
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	145	68	$39.00	$6.83
73564 X-ray of knee, 4 or more views	115	97	$265.57	$47.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$526.70	$126.98
20610 Aspiration and/or injection of fluid from large joint	81	72	$349.69	$71.95
73030 X-ray of shoulder, minimum of 2 views	34	31	$183.65	$35.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$880.76	$232.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$648.65	$191.72
27447 Replacement of knee joint, both sides of knee	15	15	$1535.00	$200.64
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$801.00	$26.20
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$825.00	$157.23

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AL MD.35957

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Orthopaedic And Neurosurgery Specialists, Pllc

500 Mamaroneck Ave, Harrison, NY 105281633

Phone: 2038691145

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Troy Stewart , OPA

Specialist/Technologist, Other - Surgical Technologist

NPI 1003967944

Dr. Charles Carnel , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1023228624

Doctor of Medicine (M.D.)

Dr. Baylor Blickenstaff , MD

Orthopaedic Surgery - Sports Medicine

NPI 1023674272

Doctor of Medicine (M.D.)

Emily Cahill , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1043718638

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer

Dr. Jared Watson , MD

Orthopaedic Surgery

NPI 1043898091

Doctor of Medicine (M.D.)

Dr. Brandon Kimbrel , MD

Orthopaedic Surgery

NPI 1073042701

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2017

Registered at 805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 352051638 (Tel: 2059393699)

📍

Updated Business Mailing Address July 05, 2017

Registered at 300 E 23RD ST APT 11B, NEW YORK, NY 100104782 (Tel: (516) 647-5941)

👤

Provider Name / Credentials Updated July 05, 2017

Recorded as BRIAN CAPOGNA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Orthopaedic Surgery (License #MD.35957 in AL)

✅

NPI Profile Active June 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2012

Registered at 550 1ST AVE, NEW YORK, NY 100166402 (Tel: 2122635506)

📍

Updated Business Mailing Address June 18, 2012

Registered at 300 E 23RD ST APT 11B, NEW YORK, NY 100104782 (Tel: 5166475941)

👤

Provider Name / Credentials Updated June 18, 2012

Recorded as BRIAN CAPOGNA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 28, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316207053

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 28, 2012

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 E 23rd St Apt 11b

New York, NY 100104782

Phone: 5166475941

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.