Active NPI 1427260405 Individual Practitioner Male Practitioner

Dr. Anthony E Capito , MD

Surgery - Plastic and Reconstructive Surgery • Roanoke, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Capito, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Roanoke, VA. With approximately 20 years of clinical experience since graduating from West Virginia University School Of Medicine in 2006, Dr. Capito delivers high-quality medical care to the local community at 3 RIVERSIDE CIR.

Dr. Capito is affiliated with Carilion Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, injection into tendon or ligament. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Riverside Cir

Roanoke, VA 240164955

Telephone 5405106200

Fax 5408575306

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1982908547

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -8.2 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Roanoke, VA (83 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Capito (20 Years) 20 Yrs

Roanoke Specialty Average (28.2 Years) 28.2 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$132.00	$123.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$103.88	$84.76
20550 Injection into tendon or ligament	32	22	$63.28	$32.99
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$67.81	$61.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$128.00	$125.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$80.00	$78.62
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	19	18	$618.42	$246.34
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$67.81	$61.16
29848 Release of wrist ligament using an endoscope	16	15	$3222.69	$553.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$300.00	$124.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$119.26	$79.71
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$61.95	$57.25
20550 Injection into tendon or ligament	37	31	$61.14	$37.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$167.53	$128.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$178.82	$128.96
99213 Established patient office or other outpatient visit, typically 15 minutes	29	23	$65.38	$59.81
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	25	23	$545.20	$243.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$104.13	$86.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$80.29
29848 Release of wrist ligament using an endoscope	13	13	$1640.92	$565.41
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$1511.73	$769.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$241.91	$126.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$164.26	$133.37
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$72.33	$65.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$109.40	$82.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$105.25	$97.36
20550 Injection into tendon or ligament	26	19	$51.54	$33.68
29848 Release of wrist ligament using an endoscope	23	23	$1257.39	$564.02
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$72.43	$66.38
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	22	22	$540.00	$260.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$167.00	$134.50
26055 Incision of tendon covering	21	12	$764.38	$161.35
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	16	$1457.25	$837.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$165.08	$128.98
99213 Established patient office or other outpatient visit, typically 15 minutes	52	47	$72.65	$66.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$106.58	$96.34
20550 Injection into tendon or ligament	33	27	$55.30	$36.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$161.34	$133.76
29848 Release of wrist ligament using an endoscope	28	26	$1032.86	$539.31
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	22	21	$540.00	$264.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$103.00	$83.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$209.00	$135.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$68.55	$50.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$102.56	$78.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$156.03	$130.93
20550 Injection into tendon or ligament	30	18	$50.00	$32.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$102.75	$76.41
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$73.00	$50.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$153.18	$130.61
29848 Release of wrist ligament using an endoscope	19	19	$1369.89	$589.61
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	13	$540.00	$257.67
20605 Aspiration and/or injection of medium joint or joint capsule	14	11	$63.07	$33.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$65.66	$50.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$97.00	$75.61
20550 Injection into tendon or ligament	56	37	$52.68	$34.76
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$65.00	$50.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$145.00	$127.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$94.00	$78.17
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	30	29	$532.20	$269.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$146.00	$128.03
29848 Release of wrist ligament using an endoscope	17	16	$1247.53	$499.16
20605 Aspiration and/or injection of medium joint or joint capsule	14	14	$56.00	$34.85
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$1538.08	$777.73
20526 Injection of carpal tunnel	11	11	$78.00	$63.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$97.00	$76.18
99213 Established patient office or other outpatient visit, typically 15 minutes	60	49	$65.00	$51.05
20550 Injection into tendon or ligament	45	34	$53.33	$38.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$147.29	$128.72
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$66.29	$51.07
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	28	26	$531.64	$262.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$98.67	$76.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$145.00	$128.43
20526 Injection of carpal tunnel	18	16	$84.33	$66.07
29848 Release of wrist ligament using an endoscope	16	16	$1265.25	$595.29
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	13	$1543.85	$797.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$97.00	$76.17
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$950.46	$550.28
20605 Aspiration and/or injection of medium joint or joint capsule	12	12	$53.08	$36.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$97.94	$73.50
99213 Established patient office or other outpatient visit, typically 15 minutes	65	50	$65.68	$48.90
20550 Injection into tendon or ligament	38	32	$52.63	$36.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$145.00	$124.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$96.42	$75.34
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	25	22	$521.28	$262.29
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$65.00	$48.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$151.00	$118.57
29848 Release of wrist ligament using an endoscope	14	12	$964.00	$440.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$97.00	$73.34

Medical Specialties & State Licenses

CMS Verified: 2020-12-10

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License VA 0101251190

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License VA 0101251190

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

355859 (SC)

Hospital & Practice Group Affiliations

Carilion Medical Center

2001 Crystal Spring Ave Sw, Roanoke, VA 240142465

Carilion Medical Center

3 Riverside Cir, Roanoke, VA 240164955

Phone: 5402245170

Carilion Medical Center

1906 Belleview Ave Se, Roanoke, VA 240141838

Phone: 5409817000

Carilion Medical Center

2017 S Jefferson St, Roanoke, VA 240142419

Phone: 5409817128

Carilion Medical Center

101 Elm Ave Se, Roanoke, VA 240132222

Phone: 5402246780

Carilion Medical Center

2017 Jefferson St Sw, Roanoke, VA 240142419

Phone: 5409817925

Carilion Medical Center

2331 Franklin Rd Sw, Roanoke, VA 240141111

Phone: 5402245170

Carilion Medical Center

2001 Crystal Spring Swave, Roanoke, VA 240142465

Carilion Medical Center

101 Elm Ave, Roanoke, VA 240132222

Phone: 5402244380

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

Kelly Kugach

Podiatrist - Foot & Ankle Surgery

NPI 1003445594

Dr. Peter Apel , MD, PhD

Orthopaedic Surgery - Hand Surgery

NPI 1013178052

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kathryn Hoyt

Physician Assistant - Surgical

NPI 1013454776

Jason Peery , PA-C

Physician Assistant - Surgical

NPI 1023209368

Physician Assistant (Certified)

Dr. Ryan Putnam , MD

Orthopaedic Surgery

NPI 1043369853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 21, 2018

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5405106200)

📍

Updated Business Mailing Address December 21, 2018

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5405106200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2018

Surgery (License #0101251190 in VA)

✅

NPI Profile Active March 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2015

Registered at 2 MEDICAL PARK RD STE 302, COLUMBIA, SC 292036839 (Tel: 8035455800)

📍

Updated Business Mailing Address March 10, 2015

Registered at 2 MEDICAL PARK RD STE 306, COLUMBIA, SC 292036839 (Tel: 8035455800)

👤

Provider Name / Credentials Updated March 10, 2015

Recorded as ANTHONY CAPITO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2015

Surgery (License #35585 in SC)

🟢

Initial NPI Registration & Enumeration May 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Anthony Capito. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427260405

Entity Type:

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

Enumeration Date: May 04, 2007

Last Update: December 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Riverside Cir

Roanoke, VA 240164955

Phone: 5405106200

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.