Active NPI 1700827466 Individual Practitioner Male Practitioner

Dr. Umberto Capuano , MD

Surgery • Wakefield, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Umberto Capuano, MD is a certified Surgery practicing in Wakefield, RI. With approximately 44 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1982, Dr. Capuano delivers high-quality medical care to the local community at 70 KENYON AVE.

Dr. Capuano maintains professional affiliations with Affinity Physicians Llc., Silver Spring Health Care Management 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, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

70 Kenyon Ave
Unit 325

Wakefield, RI 028794253

Telephone 4017927001

Fax 4017927085

Associated Practice Facility / Clinic

🏢 South County Podiatry Associates, Inc. Facility NPI 1225042591

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wakefield, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +18.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Wakefield, RI (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capuano (44 Years) 44 Yrs

Wakefield Specialty Average (25.5 Years) 25.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	25	$165.06	$78.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$303.21	$117.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$90.78	$48.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$165.00	$79.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	84	$100.00	$94.53
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$100.00	$76.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	143	$100.00	$95.36
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$100.00	$76.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$75.00	$59.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$175.00	$118.10
49505 Repair of groin hernia (5 years or older)	16	16	$1518.75	$575.31
19125 Removal of breast growth, open procedure	13	13	$700.00	$472.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	135	$100.00	$78.03
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$100.00	$78.44
49505 Repair of groin hernia (5 years or older)	16	16	$1518.75	$580.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	12	$567.00	$217.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	138	$100.00	$76.26
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$100.00	$79.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.00	$108.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$200.00	$141.23
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$567.00	$196.53
49505 Repair of groin hernia (5 years or older)	11	11	$1500.00	$551.31
46600 Diagnostic examination of the anus using an endoscope	11	11	$159.00	$100.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	134	$100.00	$71.30
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$100.00	$72.87
49505 Repair of groin hernia (5 years or older)	18	18	$1500.00	$518.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$567.00	$195.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$175.00	$105.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	132	$100.00	$69.76
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$100.00	$72.27
49505 Repair of groin hernia (5 years or older)	19	18	$1500.00	$491.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$567.00	$192.76

Medical Specialties & State Licenses

CMS Verified: 2023-05-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD07065

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9002039 (RI)

Hospital & Practice Group Affiliations

Silver Spring Health Care Management Inc

70 Kenyon Ave, Wakefield, RI 028794253

Phone: 4012841212

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

455 Toll Gate Rd Dept Of

Warwick, RI 028862759

Phone: 4017377010

Practice Associates & Co-Workers

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

35 Associated Practitioners

Dr. John Bandola , MD

Internal Medicine

NPI 1023129491

Doctor of Medicine (M.D.)

Dr. Eric Meehan , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023295631

Doctor of Podiatric Medicine

Dr. Steven Schneider , MD

Obstetrics & Gynecology

NPI 1063421659

Doctor of Medicine (M.D.)

Dr. Aaron Weisbord , MD

Internal Medicine - Cardiovascular Disease

NPI 1063638096

Doctor of Medicine (M.D.)

Christine Pfeiffer , CNM

Midwife

NPI 1083889729

Certified Nurse Midwife

Dr. Alexander Mcburney , MD

Urology

NPI 1114292695

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 23, 2021

Registered at 70 KENYON AVE, UNIT 325, WAKEFIELD, RI 028794253 (Tel: 4017927001)

📍

Updated Business Mailing Address June 23, 2021

Registered at 70 KENYON AVE, UNIT 325, WAKEFIELD, RI 028794253 (Tel: 4017927001)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 70 KENYON AVE, SUITE 325, WAKEFIELD, RI 028794239 (Tel: 4017927001)

📍

Updated Business Mailing Address July 08, 2007

Registered at 70 KENYON AVE, SUITE 325, WAKEFIELD, RI 028794239 (Tel: 4017927001)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as UMBERTO CAPUANO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD07065 in RI)

🟢

Initial NPI Registration & Enumeration June 10, 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: 1700827466

Entity Type:

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

Enumeration Date: June 10, 2006

Last Update: May 04, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

70 Kenyon Ave, Unit 325

Wakefield, RI 028794253

Phone: 4017927001

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.