Active NPI 1225049505 Individual Practitioner Male Practitioner

Dr. Gerardo Capo , MD

Internal Medicine • Elizabeth, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerardo Capo, MD is a certified Internal Medicine practicing in Elizabeth, NJ. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Capo delivers high-quality medical care to the local community at 225 WILLIAMSON ST.

Dr. Capo is affiliated with Barnabas Health Medical Group Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

225 Williamson St

Elizabeth, NJ 072023625

Telephone 9089945000

Fax 9089948744

Associated Practice Facility / Clinic

🏢 Elizabeth Radiology Associates, P.a. Facility NPI 1578560033

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Elizabeth, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -4.4 yrs vs City Avg

City Avg: 31.4 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

56 Specialists

Practicing in Elizabeth, NJ (4957 Statewide)

Telehealth Adoption Rate

17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capo (27 Years) 27 Yrs

Elizabeth Specialty Average (31.4 Years) 31.4 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	211	110	$798.67	$100.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	62	$1075.24	$148.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	16	$366.00	$82.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$1372.07	$193.42
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$525.77	$68.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$971.21	$182.67

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	207	96	$189.00	$102.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	42	$267.00	$147.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	24	$174.00	$84.89
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$123.00	$70.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$488.00	$186.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$407.00	$195.00

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	306	94	$189.00	$101.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	28	$267.00	$155.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	30	$174.00	$72.68
99213 Established patient office or other outpatient visit, typically 15 minutes	48	32	$123.00	$70.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$488.00	$213.86

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	140	78	$189.00	$145.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	72	$188.07	$105.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	35	$174.00	$78.01
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$123.00	$104.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	18	$267.00	$192.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	34	$488.00	$210.18
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$123.00	$72.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	20	$267.00	$138.56

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	237	99	$189.00	$119.96
99213 Established patient office or other outpatient visit, typically 15 minutes	70	49	$123.00	$83.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	36	$267.00	$159.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	32	$174.00	$79.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$488.00	$222.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$312.00	$184.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$251.00	$114.58

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	359	138	$189.00	$119.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	51	$267.00	$159.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	39	$174.00	$78.13
99213 Established patient office or other outpatient visit, typically 15 minutes	59	48	$123.00	$82.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	34	$488.00	$217.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$312.00	$180.25

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	404	163	$188.68	$113.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	56	$174.00	$76.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	41	$267.00	$151.16
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$123.00	$78.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	40	$488.00	$211.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$312.00	$175.25
99497 Advance care planning, first 30 minutes	28	27	$191.00	$88.95

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	687	192	$189.00	$152.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	77	$174.00	$102.14
99213 Established patient office or other outpatient visit, typically 15 minutes	72	52	$122.82	$102.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	48	$488.34	$289.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	28	$267.41	$210.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$312.07	$238.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$94.00	$51.74

Medical Specialties & State Licenses

CMS Verified: 2024-05-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA08098300

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NJ 25MA08098300

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Internal Medicine - Hematology

NUCC Taxonomy Code: 207RH0000X

State License NJ 25MA08098300

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Internal Medicine - Medical Oncology

NUCC Taxonomy Code: 207RX0202X

State License NJ 25MA08098300

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Hospital & Practice Group Affiliations

Barnabas Health Medical Group Pc

225 Williamson St, Elizabeth, NJ 072023625

Phone: 8887247123

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Subutay Bozkurt , MD

Student in an Organized Health Care Education/Training Program

NPI 1003489725

Doctor of Medicine (M.D.)

Dr. Ceearra Williams , DPM

Student in an Organized Health Care Education/Training Program

NPI 1043048457

Doctor of Podiatric Medicine

Dr. Abiha Iqbal , MD

Student in an Organized Health Care Education/Training Program

NPI 1053140376

Doctor of Medicine (M.D.)

Dr. Joseph Haig , MD

Emergency Medicine

NPI 1063677029

Doctor of Medicine (M.D.)

Trisha Badishian , LCSW

Social Worker - Clinical

NPI 1073718474

Licensed Clinical Social Worker

Audrey Moloughney , LSW

Counselor - Professional

NPI 1073718524

Licensed Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 225 WILLIAMSON ST, ELIZABETH, NJ 072023625 (Tel: 9089945000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 225 WILLIAMSON ST, ELIZABETH, NJ 072023625 (Tel: 9089945000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GERARDO CAPO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #25MA08098300 in NJ)

🟢

Initial NPI Registration & Enumeration August 11, 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: 1225049505

Entity Type:

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

Enumeration Date: August 11, 2006

Last Update: May 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 Williamson St

Elizabeth, NJ 072023625

Phone: 9089945000

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.