Avery C Capone, MD - Medicare Plastic And Reconstructive Surgery in Pittsburgh, PA

Avery C Capone, MD is a medicare enrolled "Plastic Surgery" physician in Pittsburgh, Pennsylvania. He went to Georgetown University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice R A Capone Jr Md Pc and his current practice location is 5727 Centre Ave, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 363-6626.

Avery C Capone is licensed to practice in Pennsylvania (license number MD467567) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114217643.

Contact Information

Avery C Capone, MD
5727 Centre Ave,
Pittsburgh, PA 15206-3707
(412) 363-6626
(412) 363-7008

Map and Direction




Physician's Profile

Full NameAvery C Capone
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience13 Years
Location5727 Centre Ave, Pittsburgh, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Avery C Capone attended and graduated from Georgetown University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1114217643
  • Provider Enumeration Date: 04/18/2011
  • Last Update Date: 07/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4789973041
  • Enrollment ID: I20190731002581

Medical Identifiers

Medical identifiers for Avery C Capone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114217643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD467567 (Pennsylvania)Secondary
208200000XPlastic Surgery MD467567 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upmc Presbyterian ShadysidePittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
R A Capone Jr Md Pc58909183613

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Avery C Capone allows following entities to bill medicare on his behalf.
Entity NameR A Capone Jr Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942308770
PECOS PAC ID: 5890918361
Enrollment ID: O20140602001632

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avery C Capone is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avery C Capone, MD
5727 Centre Ave,
Pittsburgh, PA 15206-3707

Ph: (412) 363-6626
Avery C Capone, MD
5727 Centre Ave,
Pittsburgh, PA 15206-3707

Ph: (412) 363-6626

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.