Active NPI 1164454385 Individual Practitioner Male Practitioner

Dr. Edgardo M Capitulo , MD

Surgery • Los Angeles, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edgardo Capitulo, MD is a certified Surgery practicing in Los Angeles, CA. With approximately 56 years of clinical experience since completing medical education in 1970, Dr. Capitulo delivers high-quality medical care to the local community at 1411 W SUNSET BLVD.

Dr. Capitulo accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1411 W Sunset Blvd
Suite 203

Los Angeles, CA 900263431

Telephone 8188827656

Fax 8187739517

Associated Practice Facility / Clinic

🏢 Edgardo M Capitulo Md Inc Facility NPI 1780736553

Medicare Profile & Education

Medical School

Other

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Los Angeles, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

56 Yrs +34.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

285 Specialists

Practicing in Los Angeles, CA (3346 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capitulo (56 Years) 56 Yrs

Los Angeles Specialty Average (21.3 Years) 21.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	149	86	$162.93	$81.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	147	143	$269.73	$134.78
99291 Critical care, first 30-74 minutes	36	11	$578.78	$216.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	136	66	$164.91	$83.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	103	93	$270.89	$136.61
99291 Critical care, first 30-74 minutes	38	13	$582.89	$221.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	54	$153.06	$75.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	76	$287.05	$142.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	59	$153.51	$76.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	90	$290.67	$145.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	40	$155.35	$78.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	57	$293.75	$148.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	41	$157.00	$77.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	64	$296.50	$145.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$437.15	$215.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$240.00	$118.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	32	$157.85	$75.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$296.00	$141.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$439.80	$209.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	18	$225.92	$107.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$240.00	$114.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	65	$83.46	$39.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	107	$296.32	$136.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$243.60	$110.24

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A43464

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A434640 (CA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Cesar Velez , MD

General Practice

NPI 1922043587

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2008

Registered at 1411 W SUNSET BLVD, SUITE 203, LOS ANGELES, CA 900263431 (Tel: 8188827656)

📍

Updated Business Mailing Address October 20, 2008

Registered at PO BOX 2416, WINNETKA, CA 913962416 (Tel: 8188827656)

👤

Provider Name / Credentials Updated October 20, 2008

Recorded as EDGARDO CAPITULO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2008

Surgery (License #A43464 in CA)

🟢

Initial NPI Registration & Enumeration July 07, 2006

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: 1164454385

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: October 20, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2416

Winnetka, CA 913962416

Phone: 8188827656

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.