Active NPI 1851314652 Individual Practitioner Male Practitioner

Dr. Michael T Capps , MD

Internal Medicine • Cary, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Capps, MD is a certified Internal Medicine practicing in Cary, NC. With approximately 22 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 2004, Dr. Capps delivers high-quality medical care to the local community at 224 HIGH HOUSE RD.

Dr. Capps maintains professional affiliations with Internal Medicine And Pediatrics Associates Pa, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

224 High House Rd
Suite 100

Cary, NC 275134278

Telephone 9193807531

Fax 9193800686

Associated Practice Facility / Clinic

🏢 Internal Medicine And Pediatrics Associates, Pa Facility NPI 1265446132

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cary, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -3.4 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

67 Specialists

Practicing in Cary, NC (4209 Statewide)

Telehealth Adoption Rate

25.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capps (22 Years) 22 Yrs

Cary Specialty Average (25.4 Years) 25.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	147	109	$188.73	$85.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	73	$277.53	$119.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$317.02	$121.31
83036 Hemoglobin A1C level	42	22	$28.74	$9.52
81002 Urinalysis, manual test	16	12	$33.81	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$317.79	$154.90
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	12	$46.50	$40.44

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	131	74	$267.89	$120.48
99213 Established patient office or other outpatient visit, typically 15 minutes	126	88	$182.42	$85.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$304.52	$122.13
83036 Hemoglobin A1C level	53	26	$27.89	$9.37
81002 Urinalysis, manual test	14	12	$32.71	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$303.50	$156.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	100	$173.98	$87.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	62	$254.82	$122.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$290.84	$125.69
83036 Hemoglobin A1C level	57	22	$25.88	$9.59
0124A Fee covid-19 vac 13 res	18	18	$68.00	$37.09
81002 Urinalysis, manual test	14	13	$31.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$129.00	$13.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	99	$166.00	$89.70
0011A Adm sarscov2 100mcg/0.5ml1st	113	113	$21.06	$16.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	61	$243.01	$126.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$277.00	$130.57
83036 Hemoglobin A1C level	38	23	$25.00	$9.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	90	$165.32	$70.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$276.24	$113.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	53	$240.75	$103.51
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	41	$40.00	$18.58
G0008 Administration of influenza virus vaccine	39	39	$55.00	$16.11
83036 Hemoglobin A1C level	38	24	$24.95	$9.42
G0009 Administration of pneumococcal vaccine	23	23	$35.91	$16.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$133.00	$119.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$276.00	$163.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	110	$157.77	$71.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	75	$230.48	$104.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$262.79	$112.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	45	$39.72	$18.65
G0008 Administration of influenza virus vaccine	46	45	$49.50	$15.79
83036 Hemoglobin A1C level	31	24	$22.97	$10.27
81002 Urinalysis, manual test	15	15	$26.93	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$115.73	$16.30
G0009 Administration of pneumococcal vaccine	11	11	$33.91	$15.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	123	$152.71	$72.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	84	$223.90	$107.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$254.81	$118.90
83036 Hemoglobin A1C level	47	33	$21.87	$11.75
G0008 Administration of influenza virus vaccine	44	43	$44.95	$19.38
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	44	43	$36.89	$18.65
G0009 Administration of pneumococcal vaccine	14	14	$33.00	$19.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$252.45	$168.73
90670 Pneumococcal vaccine for injection into muscle	11	11	$191.00	$187.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	110	$144.00	$69.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	78	$211.10	$102.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$240.00	$110.34
G0008 Administration of influenza virus vaccine	64	61	$42.00	$23.92
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	53	52	$34.00	$18.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	47	33	$97.00	$66.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	11	$43.00	$19.16
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	33	$140.00	$125.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	25	$100.00	$88.14
81002 Urinalysis, manual test	25	22	$24.00	$3.43
G0009 Administration of pneumococcal vaccine	17	17	$31.00	$23.92
90670 Pneumococcal vaccine for injection into muscle	13	13	$180.00	$176.40

Medical Specialties & State Licenses

CMS Verified: 2020-12-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NC 200400195

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

89138C6 (NC)

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

101 Sw Cary Pkwy, Cary, NC 275115562

Phone: 9194677678

Internal Medicine And Pediatrics Associates Pa

224 High House Rd, Cary, NC 275134278

Phone: 9193807531

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. David Outlaw , MD

Internal Medicine

NPI 1013913219

Doctor of Medicine (M.D.)

Kathleen Immler , FNP

Nurse Practitioner - Family

NPI 1124756242

Family Nurse Practitioner

Dr. James Womble , MD

Internal Medicine

NPI 1447256748

Doctor of Medicine (M.D.)

Ersilia Sarno , FNP

Nurse Practitioner - Family

NPI 1538165733

Family Nurse Practitioner

Kristin Ruiter

Nurse Practitioner - Family

NPI 1831596576

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2020

Internal Medicine (License #200400195 in NC)

✅

NPI Profile Active September 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2010

Registered at 224 HIGH HOUSE RD, SUITE 100, CARY, NC 275134278 (Tel: 9193807531)

📍

Updated Business Mailing Address September 15, 2010

Registered at 224 HIGH HOUSE RD, SUITE 100, CARY, NC 275134278 (Tel: 9193807531)

👤

Provider Name / Credentials Updated September 15, 2010

Recorded as MICHAEL CAPPS, MD

🎓

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

Family Medicine (License #200400195 in NC)

🟢

Initial NPI Registration & Enumeration July 25, 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: 1851314652

Entity Type:

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

Enumeration Date: July 25, 2006

Last Update: December 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

224 High House Rd, Suite 100

Cary, NC 275134278

Phone: 9193807531

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.