Doctor profile · Federal record
Dr. Jack Capodice, MD, DMD
Oral and Maxillofacial Surgery (Dentist) (CMS: Oral Surgery) · Bloomington, IL
- NPI 1053397612
- Accepts Medicare
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
109 N Regency Dr
Bloomington, IL 617013515
(309) 663-2526
fax (309) 663-4788
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- April 6, 2026
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 1223S0112X — NUCC code
- State license (1)
- Illinois #019022744
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053397612. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
22
Distinct HCPCS
1
Medicare allowed
$1,524
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99202 |
New patient office or other outpatient visit, 15-29 minutes | 22 | 22 | $69 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 20. This provider delivers 1.1× the peer median.Open Payments
Industry payments received
All-time total
$233
Transactions
9
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BioHorizons Implant Systems Inc. | 7 | $187.50 | |
| ZIMVIE INC. | 2 | $45.92 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
885
Patients
667
Total drug cost
$5,660
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 305 | 147 | $1,644 |
| Penicillin V Potassium | Generic | 173 | 162 | $909 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 131 | 124 | $236 |
| Clindamycin Hcl | Generic | 91 | 77 | $485 |
| Amoxicillin | Generic | 75 | 70 | $307 |
| Tramadol Hcl | Generic | 43 | 39 | $59 |
| Azithromycin | Generic | 29 | 24 | $162 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 24 | 24 | $188 |
| Doxycycline Hyclate | Generic | 14 | 0 | $1,669 |
Frequently asked questions
What is Dr. Jack Capodice's medical specialty?
Dr. Jack Capodice practices Oral and Maxillofacial Surgery (Dentist) in Bloomington, IL.
Where does Dr. Jack Capodice practice?
Dr. Jack Capodice practices at 109 N Regency Dr, Bloomington, IL 617013515. Office phone: 3096632526.
What is Dr. Jack Capodice's NPI?
Dr. Jack Capodice's National Provider Identifier (NPI) is 1053397612, issued by NPPES.
Does Dr. Jack Capodice accept Medicare assignment?
Yes. Dr. Jack Capodice accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Capodice commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99202). Source: CMS Medicare Physician & Other Practitioners file.