Active NPI 1023035094 Individual Practitioner Male Practitioner

Dr. Anthony G Captain , MD

Internal Medicine • Calhoun, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Captain, MD is a certified Internal Medicine practicing in Calhoun, GA. With approximately 34 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1992, Dr. Captain delivers high-quality medical care to the local community at 1035 RED BUD RD NE.

Dr. Captain is affiliated with Adventist Health System Georgia Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, 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

1035 Red Bud Rd Ne

Calhoun, GA 307016010

Telephone 7068794776

Fax 7068794781

Associated Practice Facility / Clinic

🏢 Georgia Emergency Care, Pc Facility NPI 1225080062

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Calhoun, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +13.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Calhoun, GA (4065 Statewide)

Telehealth Adoption Rate

26.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Captain (34 Years) 34 Yrs

Calhoun Specialty Average (20.5 Years) 20.5 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	222	98	$361.00	$112.64
99239 Hospital discharge day management, more than 30 minutes	100	96	$346.00	$106.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	27	$240.00	$71.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	43	$526.00	$164.13
99291 Critical care, first 30-74 minutes	33	14	$653.00	$202.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	363	136	$360.03	$115.28
99239 Hospital discharge day management, more than 30 minutes	109	108	$345.49	$108.89
99291 Critical care, first 30-74 minutes	62	29	$707.42	$202.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	31	$240.00	$77.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$525.42	$166.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	393	141	$308.95	$96.83
99239 Hospital discharge day management, more than 30 minutes	93	90	$315.00	$98.67
99291 Critical care, first 30-74 minutes	56	21	$846.00	$209.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$598.00	$189.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	15	$215.00	$67.92
99217 Hospital observation care on day of discharge	37	37	$215.00	$64.32
99220 Hospital observation care, typically 70 minutes	16	16	$540.00	$170.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	723	181	$309.38	$96.17
99239 Hospital discharge day management, more than 30 minutes	115	113	$316.91	$98.07
99291 Critical care, first 30-74 minutes	110	25	$848.00	$200.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$604.00	$186.35
99217 Hospital observation care on day of discharge	24	24	$217.00	$66.20
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	14	14	$66.00	$19.75
99220 Hospital observation care, typically 70 minutes	11	11	$548.00	$175.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	676	186	$320.00	$102.37
99239 Hospital discharge day management, more than 30 minutes	164	154	$325.85	$103.91
99291 Critical care, first 30-74 minutes	125	39	$850.75	$218.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$622.00	$193.18
99217 Hospital observation care on day of discharge	33	33	$222.00	$69.69
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$68.63	$22.29
99220 Hospital observation care, typically 70 minutes	17	17	$569.00	$183.94
99226 Subsequent observation care, typically 35 minutes per day	13	11	$321.00	$104.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	711	250	$318.70	$101.25
99239 Hospital discharge day management, more than 30 minutes	214	199	$324.99	$101.42
99291 Critical care, first 30-74 minutes	133	52	$846.00	$221.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	91	$620.00	$193.62
99217 Hospital observation care on day of discharge	32	31	$223.00	$69.94
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$69.00	$21.03
99220 Hospital observation care, typically 70 minutes	12	12	$568.00	$171.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	870	278	$319.00	$100.67
99239 Hospital discharge day management, more than 30 minutes	219	200	$327.00	$102.51
99291 Critical care, first 30-74 minutes	123	46	$836.00	$218.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	72	$620.00	$195.42
99217 Hospital observation care on day of discharge	41	41	$222.00	$70.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$420.00	$131.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	15	$221.00	$66.76
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	21	21	$46.00	$14.51
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	20	20	$68.00	$21.80
99220 Hospital observation care, typically 70 minutes	16	16	$568.00	$181.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	822	265	$318.76	$99.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	235	216	$620.00	$193.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	153	$322.00	$99.25
99239 Hospital discharge day management, more than 30 minutes	172	158	$326.95	$100.28
36415 Insertion of needle into vein for collection of blood sample	133	123	$9.00	$2.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	57	20	$6.00	$1.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	31	$76.00	$23.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	29	$221.00	$64.18
J0696 Injection, ceftriaxone sodium, per 250 mg	45	17	$3.00	$0.69
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	45	45	$46.00	$14.13
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	44	44	$68.00	$21.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	38	$435.00	$131.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	15	$49.00	$16.11
99220 Hospital observation care, typically 70 minutes	29	29	$568.00	$169.94
99217 Hospital observation care on day of discharge	20	20	$222.00	$67.72
71020 X-ray of chest, 2 views, front and side	20	20	$50.00	$14.73
82044 Urine microalbumin (protein) analysis	17	17	$19.00	$5.79
81003 Automated urinalysis test	16	15	$10.00	$2.86
99226 Subsequent observation care, typically 35 minutes per day	11	11	$321.00	$94.35

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 039300

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000666399D (GA)

Hospital & Practice Group Affiliations

Adventist Health System Georgia Inc

1035 Red Bud Rd Ne, Calhoun, GA 307016010

Adventist Health System Georgia Inc

707 Old Dalton Ellijay Rd, Chatsworth, GA 307052029

Phone: 7068795760

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Julia Rittenhouse , MD

Family Medicine

NPI 1013329622

Doctor of Medicine (M.D.)

Daniel Treiyer

Internal Medicine

NPI 1063703403

Nancy Clardy

Nurse Practitioner

NPI 1073655924

Dr. Kailash Kulkarni , MD

Internal Medicine

NPI 1114116191

Doctor of Medicine (M.D.)

Joshua Rose

Nurse Anesthetist, Certified Registered

NPI 1114355203

Dr. Corwyn Fortner , MD

Anesthesiology

NPI 1134154388

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 March 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2017

Registered at 1035 RED BUD RD NE, CALHOUN, GA 307016010 (Tel: 7068794776)

📍

Updated Business Mailing Address March 20, 2017

Registered at PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 307037013 (Tel: 7066027800)

👤

Provider Name / Credentials Updated March 20, 2017

Recorded as ANTHONY CAPTAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Internal Medicine (License #039300 in GA)

✅

NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2012

Registered at 400 TIMMS RD NE, CALHOUN, GA 307017016 (Tel: 7066250022)

📍

Updated Business Mailing Address September 25, 2012

Registered at 400 TIMMS RD NE, CALHOUN, GA 307017016 (Tel: 7066250022)

👤

Provider Name / Credentials Updated September 25, 2012

Recorded as ANTHONY CAPTAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Internal Medicine (License #039300 in GA)

🟢

Initial NPI Registration & Enumeration July 16, 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: 1023035094

Entity Type:

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

Enumeration Date: July 16, 2006

Last Update: December 14, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 12938, C/o Clinic Management

Calhoun, GA 307037013

Phone: 7066027800

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.