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Kathryn Marie Cappell, MD

Hematology · Fairfax

NPI 1366785255

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Cappell’s office at (571) 472-4724 to ask if they take your plan before you enroll.

State licence records

1 licence

  • Virginia 0101271507Physician · since 2021 · expires 2028-03-31Told the state board they are board certified.
    Current ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

3 placements

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • Internal Medicine: Hematologycertified 2021 · through 2031
  • Internal Medicine: Medical Oncologycertified 2021 · through 2031
  • Internal Medicinecertified 2017 · through 2027

Education

  • University Of North Carolina At Chapel Hill School Of Medicine - Chapel Hill NC2013

Residency and fellowship

  • National Cancer Instittue, Hematology and OncologyBethesda, MD · 2021
  • Stanford Medical School, Blood and marrow transplantationStanford, CA · 2017
  • Stanford Medical School, Internal MedicineStanford, CA · 2016

Original Medicare doctor bills

$6,116

Medicare paid this office $6,116 for 24 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$4,759$101

Who their Medicare patients are

24 Original Medicare patients in 2024. Average age 75 · Women 54% · Health risk score 1.91. At or below the middle of the specialty; the typical hematology-oncology clinician is at 2.04.

Conditions among them: High blood pressure 75% · Coronary heart disease 58% · Diabetes 50% · Chronic kidney disease 50% · Heart failure 46% · Atrial fibrillation 46%.

The office billed $17,281, Medicare allowed $7,669 and paid $6,116; for 60 services of 4 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20242460751.91$17,281$6,116
20233257772.19$12,932$4,824
202289350772.51$98,125$30,211
202138122762.07$34,464$11,252
2018267274822.18$124,250$45,547
20171313752.02$5,712$2,099

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,418$105
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,189$70

2022: 5 services

Original Medicare services billed in 2022
Return visit (30+ min)39$8,741$75
Long return visit (40+ min)24$7,735$119
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$6,918$61
New patient visit (60+ min)11$1,814$165
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,560$120

2021: 2 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$3,193$65
New patient visit (60+ min)12$1,889$157

2018: 2 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes192$34,635$177
Initial hospital observation care per day, typically 70 minutes65$9,513$146

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
81.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1366785255
Licence
MD D84076, VA 0101271507Virginia 0101271507: Current Active
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RH0000X (207RH0000X); Internal medicine (207R00000X); Medical oncology (207RX0202X); Hospitalist (208M00000X); Student in a training program (390200000X)
Mailing address
Po Box 37174, Baltimore, MD, 21297
NPI first listed
2013-03-29
NPI last updated
2021-08-26
NPI record certified
2021-08-26

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 4320 Seminary Rd, Alexandria, VA, 22304 · 3600 Joseph Siewick Dr, Fairfax, VA, 22033 · 3300 Gallows Rd, Falls Church, VA, 22042 · 44045 Riverside Pkwy, Leesburg, VA, 20176 · 300 Pasteur Dr, Stanford, CA, 94305