Active NPI 1811159254 Individual Practitioner Male Practitioner

Dr. John Kirk Capua , DO

Neurological Surgery • Modesto, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Capua, DO is a certified Neurological Surgery practicing in Modesto, CA. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Capua delivers high-quality medical care to the local community at 1401 SPANOS CT.

Dr. Capua is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 Spanos Ct
Suite 130

Modesto, CA 953552810

Telephone 2095241211

Associated Practice Facility / Clinic

🏢 Ron Jennison Facility NPI 1013902113

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Modesto, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -10.8 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Modesto, CA (999 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capua (18 Years) 18 Yrs

Modesto Specialty Average (28.8 Years) 28.8 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	96	96	$682.00	$217.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$357.00	$130.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$479.00	$179.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$663.00	$171.08
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	16	$1052.00	$241.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	69	69	$656.00	$223.86
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	45	21	$1002.00	$250.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$343.00	$132.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$663.00	$176.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$461.00	$169.85
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$6714.00	$1686.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	89	19	$1368.01	$364.31
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	81	39	$892.70	$233.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	64	64	$631.00	$223.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	33	$333.00	$131.67
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	27	14	$1491.00	$383.03
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	24	24	$6425.00	$1593.60
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$2540.70	$672.90
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$5539.20	$1436.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	97	18	$888.66	$245.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$613.00	$226.22
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	40	18	$767.20	$202.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	31	$323.00	$133.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$491.00	$172.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$631.00	$205.43
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1792.67	$486.37
22843 Placement of stabilizing device to back, 7-12 spine bone segments	11	11	$2035.09	$567.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$2828.56	$699.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$470.00	$170.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$309.00	$109.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$591.00	$210.30
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	11	$959.00	$263.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$212.00	$74.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$414.00	$153.41

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	84	52	$309.00	$113.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$470.00	$170.40
22614 Fusion of additional segment of spine	61	13	$1377.00	$393.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$591.00	$207.69
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	23	$959.00	$260.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$212.00	$74.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$414.00	$144.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	15	$305.00	$106.80
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$6119.00	$1566.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$458.00	$164.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	71	$575.00	$203.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	36	$206.00	$71.48
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$202.00	$75.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	19	$296.00	$104.70
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	15	$933.00	$250.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$301.00	$111.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$403.00	$149.22
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$5955.00	$1698.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	111	71	$197.00	$75.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$447.00	$162.44
22614 Fusion of additional segment of spine	47	11	$1312.00	$392.61
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	43	22	$907.69	$258.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$563.00	$203.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	22	$201.00	$72.54
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	23	12	$1323.00	$398.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$294.00	$110.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$382.00	$138.92
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	18	$5832.00	$1571.16

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License CA 20A11031

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Sutter Valley Medical Foundation

600 Coffee Rd, Modesto, CA 953554201

Phone: 2095241211

Sutter Valley Medical Foundation

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2095264500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Radha Chirumamilla , MD

Hospitalist

NPI 1003008590

Doctor of Medicine (M.D.)

Dr. Ronald Jensen , DPM

Podiatrist

NPI 1003866344

Doctor of Podiatric Medicine

Dr. Wallace Carroll , MD

Allergy & Immunology - Allergy

NPI 1003874124

Doctor of Medicine (M.D.)

Dr. Vivian Tan , MD

Anesthesiology

NPI 1013951425

Doctor of Medicine (M.D.)

Dr. Kenneth Imanaka , MD

Anesthesiology

NPI 1013974567

Doctor of Medicine (M.D.)

Dr. David Betz , MD

Anesthesiology

NPI 1023074820

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 August 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2015

Registered at 1401 SPANOS CT, SUITE 130, MODESTO, CA 953552810 (Tel: 2095241211)

📍

Updated Business Mailing Address August 03, 2015

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095216097)

👤

Provider Name / Credentials Updated August 03, 2015

Recorded as JOHN CAPUA, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2015

Neurological Surgery (License #20A11031 in CA)

🟢

Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811159254

Entity Type:

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

Enumeration Date: June 26, 2008

Last Update: August 03, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Coffee Rd

Modesto, CA 953554201

Phone: 2095216097

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.