Matthew Kappus, MD
NPI 1235365297 · Gastroenterology Physician · Durham, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Kappus, MD is a Gastroenterology Physician provider in Durham, NC (NPI 1235365297).
Provider details
- NPI number
- 1235365297
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 188798 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
539 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 103 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 63 | $88 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 60 | $133 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 60 | $101 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 46 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Spironolactone | 99 | 36 |
| Ursodiol | 98 | 31 |
| Furosemide | 93 | 35 |
| Pantoprazole Sodium | 77 | 22 |
| Rifaximinbrand: Xifaxan | 74 | 18 |
| Tacrolimus | 69 | 20 |
| Carvedilol | 66 | 20 |
| Mycophenolate Mofetil |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-04
- Last updated
- 2018-08-09
Frequently asked questions
- What is Matthew Kappus's NPI number?
- Matthew Kappus's National Provider Identifier (NPI) is 1235365297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Kappus's specialty?
- Matthew Kappus is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Kappus located?
- Matthew Kappus's practice location on file with NPPES is Duke Gastroenterology Dumc 3923, Durham, NC 27710.
- What is Matthew Kappus's phone number?
- The practice phone number listed in the NPPES registry for Matthew Kappus is (919) 681-4044.
- Does Matthew Kappus accept Medicare?
- Matthew Kappus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Kappus's NPI active?
- Yes — Matthew Kappus's NPI (1235365297) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.