Individual provider Active NPI

Gregory Gary Caputy, M.D., PHD

  • Plastic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1194810689
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD8495 Issued in HI
Practice address
246 Paiko Dr
Honolulu, HI 96821-2321
Phone
(808) 394-2425
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD8495 HI Primary

Addresses

Primary practice location

246 Paiko Dr
Honolulu, HI 96821-2321

Mailing address

246 Paiko Dr
Honolulu, HI 96821-2321
Phone (808) 394-2425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131230000702 HI Practitioner - General Surgery 7012144769 Reassigns benefits to 1 organization
I20201203001004 CA Practitioner - Plastic and Reconstructive Surgery 7012144769 Reassigns benefits to 2 organizations
I20210513001699 CO Practitioner - General Surgery 7012144769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Calgary, Faculty of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians

Practice addresses (Care Compare)

1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
71.93
Promoting interoperability
100
Improvement activities
40
Cost
59.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue287
Removal of skin lesions15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD8495HIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baromedical Physician Associates Medical Group CurrentSince Jan 25, 2021 Accepting new patients
Crescent Wound Care Inc CurrentSince Oct 1, 2024 Accepting new patients
Crescent Wound Care Inc CurrentSince Oct 1, 2024 Accepting new patients
Crescent Wound Care Inc Past Accepting new patients

Locations

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

5265 E Huntington Ave
Fresno, CA 93727
Phone (559) 251-8244

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

720 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 973-8777

612 Main St
Soledad, CA 93960
Phone (831) 678-2462

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1194810689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PAIKO DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212321",
            "telephone_number": "808-394-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PAIKO DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212321",
            "telephone_number": "808-394-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTY",
        "first_name": "GREGORY",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "HI",
            "license": "MD8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.