DR. ANASTASIOS KAPETANOS M.D.
NPI 1336457712
Internal Medicine in Pittsburgh, PA


Quality Rating: 92.59 out of 100 score

NPI Status: Active since September 20, 2010

Contact Information

1307 FEDERAL ST
SUITE B300
PITTSBURGH, PA
ZIP 15212
Phone: (412) 359-3751
Fax: (412) 359-8439

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  • Individual
  • Male
  • Years of Experience 18
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANASTASIOS KAPETANOS

This page provides the complete NPI Profile along with additional information for Anastasios Kapetanos, an internist established in Pittsburgh, Pennsylvania with a medical specialization in Internal Medicine and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1336457712 assigned on September 2010. The practitioner's primary taxonomy code is 207R00000X with license number MD443201 (PA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1336457712
Provider Name
DR. ANASTASIOS KAPETANOS M.D.
Gender
Male
Entity Type
Individual
Location Address
1307 FEDERAL ST SUITE B300 PITTSBURGH, PA 15212
Location Phone
(412) 359-3751
Location Fax
(412) 359-8439
Mailing Address
1307 FEDERAL ST STE B300 PITTSBURGH, PA 15212
Mailing Phone
(412) 359-3751
Mailing Fax
(412) 359-8439
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
09-20-2010
Last Update Date
09-30-2020
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An internist like Anastasios Kapetanos is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD443201
License State
PA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Anastasios Kapetanos is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anastasios Kapetanos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264602655

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110822000288

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 16 times for 16 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 34 times for 18 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $24.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 15212 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.34
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $31.58
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.59, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.59 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 81.96

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anastasios Kapetanos is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALLEGHENY GENERAL HOSPITAL320 EAST NORTH AVENUE
PITTSBURGH, PA 15212
(412) 359-3131Acute Care Hospitals
WEST PENN HOSPITAL4800 FRIENDSHIP AVENUE
PITTSBURGH, PA 15224
(412) 578-5000Acute Care Hospitals

Reviews for DR. ANASTASIOS KAPETANOS M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336457712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366851472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 5 + 1 + 4 + 7 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336457712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457351850MS. MICHELE MARIE FONDA PA
Individual
Physician Assistant (Surgical)1307 FEDERAL ST 2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
PITTSBURGH, PA 15212
(187) 766-0677
1164423539DR. DAVID STANLEY MEDICH MD
Individual
Colon & Rectal Surgery1307 FEDERAL ST SUITE 300
PITTSBURGH, PA 15212
(412) 281-1757
1063413367DR. GERALD WARNER PIFER MD
Individual
Orthopaedic Surgery1307 FEDERAL ST 2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
PITTSBURGH, PA 15212
(877) 660-6777
1427104876TRIANGLE UROLOGICAL GROUP, PC
Organization
Urology1307 FEDERAL ST STE 300
PITTSBURGH, PA 15212
(412) 281-1757
1619189222 SUPRIYA NARASIMHAN M.D.
Individual
Internal Medicine (Infectious Disease)1307 FEDERAL ST SUITE B110
PITTSBURGH, PA 15212
(412) 359-3360
1316139926PENN HOME MEDICAL SUPPLY CO., LLC
Organization
Durable Medical Equipment & Medical Supplies1307 FEDERAL ST
PITTSBURGH, PA 15212
(412) 321-2901
1417139668 KILEY N SCHULTZ PA-C
Individual
Physician Assistant (Medical)1307 FEDERAL ST SECOND FLOOR
PITTSBURGH, PA 15212
(877) 660-6777
1740468800DR. SIMRUN K GILL MD
Individual
Family Medicine1307 FEDERAL ST SUITE B300
PITTSBURGH, PA 15212
(412) 359-3751
1518126531DR. KEVIN MARC JUDELMAN MD
Individual
Internal Medicine1307 FEDERAL ST SUITE B300
PITTSBURGH, PA 15212
(412) 359-3751
1326278128PITTSBURGH COLON AND RECTAL SURGERY ASSOCIATES, PC
Organization
Colon & Rectal Surgery1307 FEDERAL ST SUITE 300
PITTSBURGH, PA 15212
(412) 281-1757
1659691475ALLEGHENY GENERAL HOSPITAL
Organization
Clinic/Center (Medical Specialty)1307 FEDERAL ST SUITE B 300
PITTSBURGH, PA 15212
(412) 359-3751
1427360924 ARIELLA T REINHERZ
Individual
Internal Medicine1307 FEDERAL ST SUITE B300
PITTSBURGH, PA 15212
(412) 359-3751
1386943348 CYNTHIA LOUISE ZUZAK CRNP
Individual
Nurse Practitioner (Family)1307 FEDERAL ST SUITE B110
PITTSBURGH, PA 15212
(412) 359-3360
1053603787 SARAH LEAH NESTICO ATC
Individual
Specialist/Technologist (Athletic Trainer)1307 FEDERAL ST
PITTSBURGH, PA 15212
(412) 359-4646
1598766008 BECKY LYNN MATCHETT PA-C
Individual
Physician Assistant (Medical)1307 FEDERAL ST 2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
PITTSBURGH, PA 15212
(187) 766-0677
1831190065DR. RICHARD LOUIS RAY MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1307 FEDERAL ST 2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
PITTSBURGH, PA 15212
(877) 660-6777
1366452773 JOYCE DIMAIO PA-C
Individual
Physician Assistant (Medical)1307 FEDERAL ST 2ND FLOOR
PITTSBURGH, PA 15212
(877) 660-6777
1043478050 RICHELLE CARRIE TAKEMOTO MD
Individual
Orthopaedic Surgery1307 FEDERAL ST SECOND FLOOR
PITTSBURGH, PA 15212
(877) 660-6777
1841533742PHYSICIANS LANDING ZONE, PC
Organization
Urology1307 FEDERAL ST
PITTSBURGH, PA 15212
(412) 281-1757
1053313106 CHAD HERBERT PETERSON PA
Individual
Physician Assistant (Medical)1307 FEDERAL ST 2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
PITTSBURGH, PA 15212
(877) 660-6777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336457712, enumerated in the NPI registry as an "individual" on September 20, 2010

The provider is located at 1307 Federal St Suite B300 Pittsburgh, Pa 15212 and the phone number is (412) 359-3751

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 18 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $126.34 with an average copayment of $31.58 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit and Follow-up hospital inpatient care per day, typically 25 minutes.

The practitioner is affiliated to the following hospital(s): ALLEGHENY GENERAL HOSPITAL and WEST PENN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 20, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.