Avery C. Capone, MD
NPI 1114217643ActiveIndividual· Plastic Surgery· Pittsburgh, PA
Plastic Surgery (MD) in Pittsburgh, Pennsylvania, trained at Georgetown University School of Medicine (class of 2011). 25 Medicare patients in 2024, $19,478 paid; nearly all of their 154 Part D prescriptions were generic (97%). Integra Lifesciences Corporation was the largest of 4 companies reporting payments in 2025, $1,084 in all, mostly device and supply loans.
Overview
| NPI | 1114217643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 18, 2011 |
| Last updated in NPPES | Jul 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | MD467567 | PA |
| Surgery | 208600000X | MD467567 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 145 across 65 procedure codes |
| Paid by Medicare | $19,478 |
Part D prescriptions in 2024
| Prescriptions (claims) | 154 · 161 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $995.88 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Georgetown University School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Plastic And Reconstructive Surgery |
| Secondary specialties | General Surgery |
Medical group
- R A Capone Jr MD PCPittsburgh, PA · 2 clinicians
Hospital affiliation
- Upmc Presbyterian ShadysidePittsburgh, PA
Industry payments (Open Payments)
- 2025$1,084 · 8 payments from 4 companies
- 2024$325.50 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Integra Lifesciences Corporation | $676.33 | 2 |
| Mentor Worldwide LLC | $222.72 | 3 |
| Musculoskeletal Transplant Foundation Inc. | $141.11 | 1 |
| Motiva USA, LLC | $43.49 | 2 |
What the 2025 payments were for
- Long term medical supply or device loan$651.60 · 1 payment
- Food and Beverage$432.05 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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