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Danielle Leigh Capece , PA-C

Physician Assistant - Surgical โ€ข Fall River, MA

Active NPI 1740774090 Individual Practitioner Female Practitioner
Practice location in NPPES

795 Middle St
Fall River, MA 02721

Call 5086745600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

795 Middle St

Fall River, MA 02721

Telephone 5086745600
Organization at the Same NPPES Address or Phone
Omni Medical Diagnostics Facility NPI 1629049747

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Lifespan Physician Group Of Massachusetts Inc; Neurosurgery Center Of Southern New England, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

32 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $6,928 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,520 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

231 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,338 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Danielle Capece has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Danielle Capece as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fall River and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant - Surgical in Fall River, MA (2024, 14 clinicians with data). Median for this group: 245. Middle half: 76 to 878.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant - Surgical in Massachusetts (2024, 250 clinicians with data). Median for this group: 139. Middle half: 49 to 559.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant - Surgical in Fall River, MA (2024, 14 clinicians with data). Median for this group: $16,304. Middle half: $5,795 to $59,954.

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant - Surgical in Massachusetts (2024, 250 clinicians with data). Median for this group: $11,805. Middle half: $4,523 to $35,845.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant - Surgical in Fall River, MA (2024, 14 clinicians with data). Median for this group: $12,761. Middle half: $4,669 to $45,058.

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant - Surgical in Massachusetts (2024, 250 clinicians with data). Median for this group: $9,272. Middle half: $3,448 to $26,126.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant - Surgical in Fall River, MA (2024, 15 clinicians with data). Median for this group: 154. Middle half: 58 to 550.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant - Surgical in Massachusetts (2024, 294 clinicians with data). Median for this group: 76. Middle half: 31 to 217.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant - Surgical in Fall River, MA (2024, 15 clinicians with data). Median for this group: $1,441. Middle half: $541 to $58,840.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant - Surgical in Massachusetts (2024, 294 clinicians with data). Median for this group: $554. Middle half: $122 to $2,454.

20 active clinicians are listed under Physician Assistant - Surgical with a practice address in Fall River, MA (516 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fall River

10% of these 20 clinicians have the CMS telehealth indicator.

75% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
38 22 $4500.00 $33.95
22633 Fusion of spine in lower back with partial removal of spine bone and disc
16 16 $5500.00 $243.00
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
16 16 $4200.00 $34.02
22842 Placement of stabilizing device to back, 3-6 spine bone segments
12 12 $5775.00 $100.47

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Baclofen Baclofen 89 1,043 $512.91 57
Oxycodone Hcl Oxycodone Hcl 74 583 $414.61 67
Methylprednisolone Methylprednisolone 32 192 $233.41 28
Gabapentin Gabapentin 18 300 $140.78 14
Tramadol Hcl Tramadol Hcl 18 127 $36.20 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES MA PA6613
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20180822002349

Enrollment State Jurisdiction

MA

PECOS Control ID

3274882337

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Neurosurgery Center Of Southern New England, Pc

537 Faunce Corner Rd, Dartmouth, MA 027471242

Phone: 5086720545

Lifespan Physician Group Of Massachusetts Inc

795 Middle St, Fall River, MA 027211733

Phone: 5086745600

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Dr. Raya Alhalawani , MD

Radiology - Vascular & Interventional Radiology

NPI 1962885749

Doctor of Medicine (M.D.)

Dr. Pooja Aysola , MD

Emergency Medicine

NPI 1245686344

Doctor of Medicine (M.D.)

Dr. Robert Baginski , MD

Emergency Medicine

NPI 1699986828

Doctor of Medicine (M.D.)

Peter Basilios , PA-C

Physician Assistant - Surgical

NPI 1174083794

Physician Assistant (Certified)

Dr. Jack Belkin , MD

Psychiatry & Neurology - Psychiatry

NPI 1750338497

Doctor of Medicine (M.D.)

Danielle Bouchard , NP

Nurse Practitioner - Acute Care

NPI 1396261863

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location July 23, 2018

Registered at 795 MIDDLE ST, FALL RIVER, MA 02721 (Tel: 5086745600)

๐Ÿ‘ค
Provider Name / Credentials Updated July 23, 2018

Recorded as DANIELLE CAPECE, PA-C

โœ…
NPI Profile Active June 20, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 20, 2018

Registered at 795 MIDDLE ST, FALL RIVER, MA 027211733 (Tel: 5086745600)

๐Ÿ“
Business Mailing Address (Initial Record) June 20, 2018

Registered at 795 MIDDLE ST, FALL RIVER, MA 027211733

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 20, 2018

Recorded as DANIELLE CAPECE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2018

Physician Assistant (license number reported to NPPES: MA PA6613)

๐ŸŸข
Initial NPI Registration & Enumeration June 20, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740774090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2018
Last Update: July 23, 2018
Sole Proprietor: No

Other Physician Assistant - Surgicals in Fall River

All Physician Assistant - Surgicals in Fall River

Mailing Address

795 Middle St

Fall River, MA 027211733

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.