Dr. Anthony E Capito , MD
Surgery - Plastic and Reconstructive Surgery โข Roanoke, VA
3 Riverside Cir
Roanoke, VA 240164955
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Anthony Capito is listed in NPPES under Surgery - Plastic and Reconstructive Surgery.
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NPI assigned on May 4, 2007; this date does not establish years in practice.
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Published CMS data list 259 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99204 โ New patient outpatient office visit: 48 service units.
- 99214 โ Established patient outpatient office visit: 33 service units.
- 20550 โ Injection into tendon or ligament: 32 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 15 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Diclofenac Sodium โ 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: 97. Middle half: 52 to 237.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 269 in 2020 to 259 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
3 Riverside Cir
Roanoke, VA 240164955
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Carilion Medical Center. 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
West Virginia University School Of Medicine
2006
What Public CMS Data Show
Surgery - Plastic and Reconstructive Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
209 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $33,151 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $25,186 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
15 standardized 30-day fills in 2020
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
$409 in 2020
The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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, 2020.
Open Payments general payments, program year 2025
All general payments: $1,238.63 across 9 records.
By nature of payment
- Food and Beverage: $832.83 across 8 records.
- Travel and Lodging: $405.80 across 1 record.
Reporting-company totals (3 largest of 4)
- Musculoskeletal Transplant Foundation Inc.: $749.74 across 5 records.
- Mentor Worldwide LLC: $225.65 across 2 records.
- PolyNovo North America LLC: $139.74 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2007
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Capito 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.
Can order Medicare-covered services
CMS lists Dr. Capito 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Roanoke and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: 97. Middle half: 52 to 237.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Roanoke have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: $18,867. Middle half: $5,595 to $39,480.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Roanoke have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: $14,501. Middle half: $4,362 to $29,447.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Roanoke have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Capito are from 2020.
9 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Roanoke, VA (81 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 269 in 2020 and 259 in 2024.
- 2020: 269
- 2021: 303
- 2022: 330
- 2023: 328
- 2024: 259
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $32,515 in 2020 and $33,151 in 2024.
- 2020: $32,515
- 2021: $45,231
- 2022: $57,694
- 2023: $45,051
- 2024: $33,151
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Paid by Medicare
Paid by Medicare varied from year to year: $23,312 in 2020 and $25,186 in 2024.
- 2020: $23,312
- 2021: $32,960
- 2022: $43,080
- 2023: $34,012
- 2024: $25,186
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 63% from 40 in 2016 to 15 in 2020.
- 2016: 40
- 2017: 14
- 2019: 11
- 2020: 15
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30-day fills
30-day fills decreased 63% from 40 in 2016 to 15 in 2020.
- 2016: 40
- 2017: 14
- 2019: 11
- 2020: 15
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Part D drug cost
Part D drug cost went from $247 in 2016 to $409 in 2020.
- 2016: $247
- 2017: $66
- 2019: $354
- 2020: $409
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $526.62 in 2021 to $1,238.63 in 2025.
- 2021: $526.62
- 2022: $900.20
- 2023: $511.16
- 2024: $849.96
- 2025: $1,238.63
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2020), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $1,238.63.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Musculoskeletal Transplant Foundation Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $405.80 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR MemoryGel Resterilizable Gel Sizer | General | $145.72 |
| PolyNovo North America LLC |
Food and Beverage
In-kind items and services
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NOVOSORB BTM | General | $139.74 |
| Musculoskeletal Transplant Foundation Inc. |
Food and Beverage
In-kind items and services
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โ | General | $126.95 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $123.50 |
| Musculoskeletal Transplant Foundation Inc. |
Food and Beverage
In-kind items and services
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โ | General | $108.19 |
| Musculoskeletal Transplant Foundation Inc. |
Food and Beverage
In-kind items and services
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โ | General | $102.15 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR MemoryGel Resterilizable Gel Sizer | General | $79.93 |
| Musculoskeletal Transplant Foundation Inc. |
Food and Beverage
In-kind items and services
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โ | General | $6.65 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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48 | 48 | $132.00 | $123.82 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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33 | 30 | $103.88 | $84.76 |
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20550
Injection into tendon or ligament
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32 | 22 | $63.28 | $32.99 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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32 | 30 | $67.81 | $61.21 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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28 | 28 | $128.00 | $125.91 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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22 | 22 | $80.00 | $78.62 |
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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
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19 | 18 | $618.42 | $246.34 |
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29848
Release of wrist ligament using an endoscope
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16 | 15 | $3222.69 | $553.82 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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16 | 15 | $67.81 | $61.16 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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13 | 13 | $300.00 | $124.70 |
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 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Diclofenac Sodium | Diclofenac Sodium | 15 | 328 | $409.45 | 11 |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-12-10NUCC Taxonomy Code: 2086S0122X
A surgeon who specializes in plastic and reconstructive surgery.
NUCC Taxonomy Code: 2086S0105X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - HAND SURGERY
I20151109000342
VA
9537302070
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
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.), Master of Science, Master of Business Administration
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5405106200)
Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5405106200)
Surgery (license number reported to NPPES: VA 0101251190)
NPI status registered as active in NPPES database
Registered at 2 MEDICAL PARK RD STE 302, COLUMBIA, SC 292036839 (Tel: 8035455800)
Registered at 2 MEDICAL PARK RD STE 306, COLUMBIA, SC 292036839 (Tel: 8035455800)
Recorded as ANTHONY CAPITO, MD
Surgery (license number reported to NPPES: SC 35585)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery - Plastic and Reconstructive Surgery Specialists in Roanoke
- William Anderson
- Dr. Waylon Zeng, MD
- Dr. James Thompson, MD
- Dr. Norman Harris, MD
- Dr. Barton Thomas, MD
- Dr. Kurtis Moyer, MD
Mailing Address
3 Riverside Cir
Roanoke, VA 240164955
Phone: 5405106200