Active NPI 1427022003 Individual Practitioner Male Practitioner

Dr. Anthony Joseph Capizzi , MD

Surgery • West Islip, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Capizzi, MD is a certified Surgery practicing in West Islip, NY. With approximately 43 years of clinical experience since graduating from New York Medical College in 1983, Dr. Capizzi delivers high-quality medical care to the local community at 786 MONTAUK HWY.

Dr. Capizzi is affiliated with Chs Physician Partners Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

786 Montauk Hwy

West Islip, NY 117954926

Telephone 6316693700

Fax 6316690222

Associated Practice Facility / Clinic

🏢 South Suffolk Orthopedic Surgery And Sports Medicine P.c Facility NPI 1346426442

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Islip, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +18.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

17 Specialists

Practicing in West Islip, NY (2269 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capizzi (43 Years) 43 Yrs

West Islip Specialty Average (24.7 Years) 24.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	183	136	$181.02	$103.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$300.09	$128.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$264.42	$251.74
49505 Repair of groin hernia (5 years or older)	13	13	$858.04	$631.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	140	$138.21	$105.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$198.74	$133.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$264.42	$259.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	151	$141.31	$108.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$251.38	$138.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$379.57	$269.06
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	23	20	$298.00	$194.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	18	$390.00	$370.07
49505 Repair of groin hernia (5 years or older)	15	15	$8143.08	$532.51
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$500.91	$96.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	131	$134.83	$105.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$254.73	$133.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	14	$389.66	$373.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$430.30	$108.62
49505 Repair of groin hernia (5 years or older)	13	13	$1316.83	$546.32
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$292.20	$157.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$272.54	$265.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	127	$124.59	$88.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$258.73	$123.42
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	39	$404.31	$117.24
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	16	16	$373.81	$139.29
49505 Repair of groin hernia (5 years or older)	15	15	$706.77	$673.03
47562 Removal of gallbladder using an endoscope	15	15	$2835.61	$723.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$429.39	$351.47
55520 Removal of spermatic cord growth	12	11	$7500.00	$313.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	166	$104.63	$85.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$289.90	$122.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	46	$415.21	$114.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$204.18	$191.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$355.30	$225.04
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	20	17	$428.85	$141.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$452.98	$348.79
47562 Removal of gallbladder using an endoscope	16	16	$895.30	$758.92
49561 Repair of trapped incisional or abdominal hernia	14	14	$2615.16	$1019.20
49505 Repair of groin hernia (5 years or older)	13	13	$706.77	$506.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	148	$129.72	$82.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	81	80	$418.82	$117.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$249.65	$189.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$216.13	$122.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$282.05	$241.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$133.68	$124.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	22	$435.66	$288.53
47562 Removal of gallbladder using an endoscope	20	20	$1312.73	$704.70
49561 Repair of trapped incisional or abdominal hernia	19	19	$1710.60	$1073.06
49505 Repair of groin hernia (5 years or older)	19	19	$1116.94	$639.61
38792 Injection of radioactive material for x-ray identification of lymph node	12	12	$44.61	$24.81
19125 Removal of breast growth, open procedure	11	11	$2094.33	$564.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	143	$108.10	$81.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	87	86	$445.47	$114.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$279.13	$180.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$150.28	$117.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$306.87	$231.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$250.38	$122.76
49505 Repair of groin hernia (5 years or older)	25	25	$1050.23	$613.05
47562 Removal of gallbladder using an endoscope	22	22	$1308.96	$726.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$470.15	$249.04
55520 Removal of spermatic cord growth	14	14	$7500.00	$275.25
49561 Repair of trapped incisional or abdominal hernia	12	12	$1277.86	$1091.55

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 159239

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Chs Physician Partners Pc

580 Union Blvd, West Islip, NY 117953105

Phone: 6313213801

Chs Physician Partners Pc

1000 N Village Ave, Rockville Center, NY 115701000

Chs Physician Partners Pc

100 Port Washington Blvd, Roslyn, NY 115761347

Chs Physician Partners Pc

540 Union Blvd, West Islip, NY 117953105

Phone: 6316692555

Chs Physician Partners Pc

1000 Montauk Hwy, West Islip, NY 117954927

Phone: 6313763000

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Arnbjorn Toset , MD

Surgery

NPI 1184877185

Doctor of Medicine (M.D.)

Dr. Edward Cussatti , MD

Surgery

NPI 1225068216

Doctor of Medicine (M.D.)

Dr. Way Lee , MD, PC

Surgery

NPI 1265479331

Doctor of Medicine (M.D.), PC

Dr. Firas Bridges , MD

Surgery

NPI 1457532996

Doctor of Medicine (M.D.)

Dr. Keith Durante , MD

Surgery

NPI 1710951397

Doctor of Medicine (M.D.)

Amanda Capizzi

Physician Assistant

NPI 1922643501

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2010

Registered at 786 MONTAUK HWY, WEST ISLIP, NY 117954926 (Tel: 6316693700)

📍

Updated Business Mailing Address October 15, 2010

Registered at 786 MONTAUK HWY, WEST ISLIP, NY 117954926 (Tel: 6316693700)

👤

Provider Name / Credentials Updated October 15, 2010

Recorded as ANTHONY CAPIZZI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2010

Surgery (License #159239 in NY)

🟢

Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1427022003

Entity Type:

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

Enumeration Date: February 13, 2006

Last Update: October 15, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

786 Montauk Hwy

West Islip, NY 117954926

Phone: 6316693700

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.