Samuel William Capra Jr., MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME94278 Issued in FL

Practice address

3325 Pocahontas Rd
Baker City, OR 97814-1464

Phone

(541) 524-8000

Fax

(541) 524-7965

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Orthopedic Surgery

Education

University of California, Davis School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Alphonsus Medical Center Baker City IncGroup PAC ID 4981732518, shared by 3 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, La Grande, OR, CCN 387150
• St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315
• Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4
• Direct secure messaging: scapra2010875@direct.trinity-health.org

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

• Saint Alphonsus Medical Center Baker City, Inc

  • Critical Access Hospital
  • Baker City, OR
  • NPI 1386636355
  Medicare reassignment NPD
• Saint Alphonsus Medical Center Baker City, Inc

  • Family Medicine Physician
  • Baker City, OR
  • NPI 1881726206

  Orthopaedic Surgery

  Medicare reassignment NPD
• Beach Orthopaedic & Sports Medicine Clinic, PA

  • Orthopaedic Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1295769263
  NPD (past) Authorized official
• Baker Clinic, LLP

  • Rural Health Clinic/Center
  • Baker City, OR
  • NPI 1992734743
  NPD
• WW Medical Center, PA

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1225981707
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guardian Home Care, Inc

  • Home Health Agency
  • La Grande, OR
  • NPI 1699824938
  Care Compare affiliation
• Saint Alphonsus Medical Center Baker City, Inc

  • Critical Access Hospital
  • Baker City, OR
  • NPI 1386636355
  Care Compare affiliation
• Saint Alphonsus Medical Center Nampa, Inc.

  • General Acute Care Hospital
  • Nampa, ID
  • NPI 1659371870
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1477508604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-524-8000",
            "fax_number": "541-524-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Hospital Road",
            "address_2": "Orthopedic Surgery Department",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476707",
            "country_code": "US",
            "telephone_number": "850-863-8235",
            "fax_number": "850-863-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPRA",
        "first_name": "SAMUEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD210244",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME94278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275663300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "36431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke M Burton, MSW
• Raeann J Butler
• Mary-Katherine Campos, QMHP
• Nicolette Cannon
• Canyon Idaho Home Care & Hospice, LLC
• Care at Home, Inc
• Care at Home, Inc.
• Brenda Lucille Carnahan, LPC
• Melody Rose Carroll, PHARMD
• Neil J Carroll, MD

• Orthopaedic Surgery Physician in Baker City, OR
• Providers in Baker City, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.