Active NPI 1891195731 Individual Practitioner Male Practitioner

Anthony Cappadora , PA

Physician Assistant • Southold, NY

Professional Overview & Biography Verified Profile Summary

Anthony Cappadora, PA is a registered healthcare professional specializing in Physician Assistant in Southold, NY. Practice services are available at 57190 MAIN RD under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, chronic care management services, first, subsequent nursing facility care with straightforward level of medical decision making, per day, 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

57190 Main Rd

Southold, NY 119714750

Telephone 6316261006

Associated Practice Facility / Clinic

🏢 Speech, Language & Swallowing Consultants P.c. Facility NPI 1568413771

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Southold, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.5 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Southold, NY (15701 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	659	284	$225.00	$127.95
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	505	238	$69.88	$41.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	231	131	$275.00	$69.68
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	225	116	$75.22	$47.16
90833 Psychotherapy with evaluation and management visit, 30 minutes	146	82	$200.00	$60.33
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	136	103	$50.00	$38.10
99335 Established patient assisted living visit, typically 25 minutes	109	22	$400.00	$94.75
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	89	89	$380.00	$221.37
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	85	67	$125.00	$92.34
90792 Psychiatric diagnostic evaluation with medical services	70	70	$800.00	$168.28
90833 Psychotherapy with evaluation and management visit, 30 minutes	61	13	$200.00	$68.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$190.00	$134.55
99497 Advance care planning, first 30 minutes	58	58	$125.00	$85.75
G0442 Annual alcohol misuse screening, 5 to 15 minutes	53	53	$30.00	$19.08
G0444 Annual depression screening, 5 to 15 minutes	51	51	$30.00	$19.08
20553 Injection of trigger points, 3 or more muscles	48	14	$185.00	$66.03
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	46	22	$75.00	$44.84
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	37	37	$225.00	$136.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$200.00	$114.58
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$40.00	$15.52
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$125.00	$93.69
93880 Ultrasound of both sides of head and neck blood flow	26	26	$300.00	$202.88
94010 Test to measure expiratory airflow and volume	20	19	$65.00	$31.18
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	17	12	$85.00	$51.51
0031A Adm sarscov2 vac ad26 .5ml	16	16	$57.50	$44.66
93923 Complete ultrasound study of arm and leg arteries	15	14	$200.00	$141.08
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	12	$265.00	$204.59
76700 Ultrasound of abdomen	12	12	$225.00	$104.21
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	11	11	$250.00	$178.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,300	434	$224.94	$127.09
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	921	367	$69.93	$42.05
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	307	151	$92.75	$48.16
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	213	125	$154.67	$92.05
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	164	131	$51.30	$37.40
93000 Routine ekg using at least 12 leads including interpretation and report	152	133	$40.00	$17.50
20553 Injection of trigger points, 3 or more muscles	145	27	$180.28	$66.64
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	129	97	$249.81	$178.74
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	128	128	$380.00	$220.83
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	101	41	$75.74	$44.51
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	93	51	$97.90	$51.57
93923 Complete ultrasound study of arm and leg arteries	80	78	$200.00	$137.37
94664 Evaluation of use of breathing device	80	69	$30.00	$17.72
99497 Advance care planning, first 30 minutes	79	79	$125.00	$84.28
94640 Inhalation treatment for airway obstruction or sputum production	79	68	$30.00	$18.82
94060 Test to measure expiratory airflow and volume changes before and after medication administration	79	68	$85.00	$61.39
G0442 Annual alcohol misuse screening, 5 to 15 minutes	75	75	$30.00	$18.19
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	72	71	$225.00	$138.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$190.00	$114.26
G0444 Annual depression screening, 5 to 15 minutes	69	69	$30.00	$18.19
93880 Ultrasound of both sides of head and neck blood flow	52	52	$298.05	$189.92
93925 Ultrasound of leg arteries or artery grafts	37	36	$375.00	$259.53
93970 Ultrasound study of arm or leg veins with compression and maneuvers	32	32	$266.09	$197.46
90756 Vaccine for influenza for injection into muscle	28	28	$30.00	$27.70
G0008 Administration of influenza virus vaccine	28	28	$30.00	$19.75
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	28	28	$175.00	$106.03
69210 Removal of impacted ear wax	27	25	$75.00	$49.60
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	27	27	$30.00	$19.53
99496 Transitional care management services for problem of high complexity	23	22	$250.00	$243.20
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	21	15	$62.62	$41.99
69209 Removal of impacted ear wax by washing	18	18	$40.00	$14.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	351	204	$225.00	$124.54
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	101	83	$70.00	$40.62
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	88	75	$250.00	$172.04
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	62	48	$175.00	$105.29
93000 Routine ekg using at least 12 leads including interpretation and report	52	52	$40.00	$17.12
20553 Injection of trigger points, 3 or more muscles	38	12	$185.00	$64.31
93923 Complete ultrasound study of arm and leg arteries	36	36	$200.00	$137.07
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	36	36	$225.00	$135.58
93880 Ultrasound of both sides of head and neck blood flow	35	34	$300.00	$192.74
G0008 Administration of influenza virus vaccine	33	33	$35.00	$19.35
99497 Advance care planning, first 30 minutes	32	31	$125.00	$82.29
G0442 Annual alcohol misuse screening, 5 to 15 minutes	31	31	$30.00	$17.85
90756 Vaccine for influenza for injection into muscle	31	31	$30.00	$26.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$190.00	$114.10
G0444 Annual depression screening, 5 to 15 minutes	28	28	$30.00	$17.85
94664 Evaluation of use of breathing device	26	26	$30.00	$17.72
94640 Inhalation treatment for airway obstruction or sputum production	26	26	$30.00	$18.81
94060 Test to measure expiratory airflow and volume changes before and after medication administration	26	26	$85.00	$60.25
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	24	16	$150.00	$90.47
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	19	19	$380.00	$214.76
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	11	$50.00	$14.58
99496 Transitional care management services for problem of high complexity	16	16	$250.00	$227.43
69210 Removal of impacted ear wax	16	15	$75.00	$44.67
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	15	15	$135.00	$80.03
69209 Removal of impacted ear wax by washing	11	11	$45.00	$14.81

Medical Specialties & State Licenses

CMS Verified: 2021-08-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 017895

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

358 Veterans Memorial Hwy

Commack, NY 117254326

Phone: 6315438844

Practice Associates & Co-Workers

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

6 Associated Practitioners

Nordea Harrison-Bailey

Nurse Practitioner - Adult Health

NPI 1023641974

Kathleen Rene , NP

Nurse Practitioner - Adult Health

NPI 1053947317

Nurse Practitioner

Angelina Graziosi , LCSW

Social Worker - Clinical

NPI 1104005750

Licensed Clinical Social Worker

Marcela Schiappacasse , NP

Nurse Practitioner - Adult Health

NPI 1164084398

Nurse Practitioner

Lillian Wolfe , FNP-C

Nurse Practitioner - Family

NPI 1184239014

Family Nurse Practitioner (Certified)

Roshan Kurien , PA-C

Physician Assistant

NPI 1770226821

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 21, 2021

Registered at 57190 MAIN RD, SOUTHOLD, NY 119714750 (Tel: 6316261006)

📍

Updated Business Mailing Address April 21, 2021

Registered at 161 MARILYNN ST, EAST ISLIP, NY 117303311 (Tel: 6315214382)

✅

NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2015

Registered at 358 VETERANS MEMORIAL HWY, COMMACK, NY 117254326 (Tel: 6315438844)

📍

Updated Business Mailing Address February 04, 2015

Registered at 358 VETERANS MEMORIAL HWY, COMMACK, NY 117254326 (Tel: 6315438844)

👤

Provider Name / Credentials Updated February 04, 2015

Recorded as ANTHONY CAPPADORA, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Physician Assistant (License #017895 in NY)

🟢

Initial NPI Registration & Enumeration August 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891195731

Entity Type:

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

Enumeration Date: August 28, 2014

Last Update: August 11, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

161 Marilynn St

East Islip, NY 117303311

Phone: 6315214382

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.