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Active NPI 1528069663 Individual Practitioner Male Practitioner

Dr. Robert A Capone , MD

Internal Medicine - Pulmonary Disease • Summit, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Robert Capone, MD is a registered healthcare professional specializing in Internal Medicine - Pulmonary Disease in Summit, NJ. Practice services are available at 1 SPRINGFIELD AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, sleep study including heart rate, breathing, and sleep time, test to measure expiratory airflow and volume. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Springfield Avenue
3rd Floor

Summit, NJ 07901

Telephone 9089340555
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Pulmonary Disease in Summit, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 30.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Summit, NJ (527 Statewide)

Telehealth Adoption Rate
71.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
157 137 $144.65 $48.78
99213 Established patient office or other outpatient visit, typically 15 minutes
126 99 $225.98 $80.30
95800 Sleep study including heart rate, breathing, and sleep time
90 89 $165.20 $56.29
94010 Test to measure expiratory airflow and volume
30 29 $26.50 $9.12
95810 Sleep monitoring of patient (6 years or older) in sleep lab
20 20 $438.05 $131.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $549.00 $154.51
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)
11 11 $485.73 $136.65

Medical Specialties & State Licenses

Internal Medicine - Pulmonary Disease Primary Specialty

NUCC Taxonomy Code: 207RP1001X

State License NJ 25MA04222000

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
290007708 (NJ)

Practice Associates & Co-Workers

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

24 Associated Practitioners
Sarah Barnett , NP

Nurse Practitioner - Adult Health

NPI 1043646391

Nurse Practitioner

Dr. Nisha Kotecha , MBBS

Internal Medicine - Critical Care Medicine

NPI 1073873956

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Melissa Lesko , DO

Internal Medicine - Pulmonary Disease

NPI 1114230240

Doctor of Osteopathic Medicine (D.O.)

Dr. Federico Cerrone , MD

Internal Medicine - Sleep Medicine

NPI 1184625220

Doctor of Medicine (M.D.)

Stephen Husch

Physician Assistant

NPI 1235978784
Dr. Jonathan Glatt , MD

Internal Medicine - Pulmonary Disease

NPI 1245763275

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 February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 1 SPRINGFIELD AVENUE, 3RD FLOOR, SUMMIT, NJ 07901 (Tel: 9089340555)

📍
Updated Business Mailing Address February 10, 2017

Registered at PO BOX 416457, BOSTON, MA 022416457

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as ROBERT CAPONE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Internal Medicine (License #25MA04222000 in NJ)

NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2016

Registered at 8 SADDLE RD, FIRST FLOOR, CEDAR KNOLLS, NJ 079271902 (Tel: 9732679393)

📍
Updated Business Mailing Address December 02, 2016

Registered at PO BOX 416457, BOSTON, MA 022416457

👤
Provider Name / Credentials Updated December 02, 2016

Recorded as ROBERT CAPONE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Internal Medicine (License #25MA04222000 in NJ)

🟢
Initial NPI Registration & Enumeration August 10, 2005

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: 1528069663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: February 10, 2017
Sole Proprietor: No

Mailing Address

Po Box 416457

Boston, MA 022416457

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.