Mario Kapetsonis, M.D.
NPI 1306833991 · Family Medicine Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Kapetsonis, M.D. is a Family Medicine Physician provider in Milwaukee, WI (NPI 1306833991).
Provider details
- NPI number
- 1306833991
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 43438 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
222 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 96 | $90 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 87 | $61 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 39 | $122 |
Typical Medicare-allowed amounts for these services range $61–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 107 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 387 | 128 |
| Amlodipine Besylate | 310 | 92 |
| Losartan Potassium | 134 | 41 |
| Metoprolol Succinate | 127 | 35 |
| Pantoprazole Sodium | 123 | 27 |
| Lisinopril | 119 | 35 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$28 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2012-01-10
Frequently asked questions
- What is Mario Kapetsonis's NPI number?
- Mario Kapetsonis's National Provider Identifier (NPI) is 1306833991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Kapetsonis's specialty?
- Mario Kapetsonis is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Kapetsonis located?
- Mario Kapetsonis's practice location on file with NPPES is 734 N Jackson St, Milwaukee, WI 53202-4602.
- What is Mario Kapetsonis's phone number?
- The practice phone number listed in the NPPES registry for Mario Kapetsonis is (414) 277-6500.
- Does Mario Kapetsonis accept Medicare?
- Mario Kapetsonis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Kapetsonis's NPI active?
- Yes — Mario Kapetsonis's NPI (1306833991) is active in the NPPES registry as of the last update on 2012-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.