Adam Kapalko, PA-C
NPI 1891892501 · Medical Physician Assistant · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Adam Kapalko, PA-C is a Medical Physician Assistant provider in Pittsburgh, PA (NPI 1891892501).
Provider details
- NPI number
- 1891892501
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- MA052566 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
345 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 | 203 | $105 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 100 | $29 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 24 | $73 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 18 | $139 |
Typical Medicare-allowed amounts for these services range $29–$139 (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 · 48 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metformin Hclbrand: Metformin Hcl Er | 336 | 97 |
| Semaglutidebrand: Ozempic | 272 | 63 |
| Empagliflozinbrand: Jardiance | 253 | 51 |
| Levothyroxine Sodium | 243 | 56 |
| Metformin Hcl | 212 | 66 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 173 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$156 across 3 records (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
- 2006-09-17
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Frequently asked questions
- What is Adam Kapalko's NPI number?
- Adam Kapalko's National Provider Identifier (NPI) is 1891892501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Adam Kapalko's specialty?
- Adam Kapalko is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Adam Kapalko located?
- Adam Kapalko's practice location on file with NPPES is 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756.
- What is Adam Kapalko's phone number?
- The practice phone number listed in the NPPES registry for Adam Kapalko is (724) 941-7490.
- Does Adam Kapalko accept Medicare?
- Adam Kapalko is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Adam Kapalko's NPI active?
- Yes — Adam Kapalko's NPI (1891892501) is active in the NPPES registry as of the last update on 2020-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.