Adam Kapalko, PA-C
Medical Physician Assistant · Pittsburgh, PA
Adam Kapalko, PA-C is a medical physician assistant with a practice address in Pittsburgh, Pennsylvania, and NPI 1891892501, issued on Sep 17, 2006. Check the license (Pennsylvania MA052566, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Adam Kapalko
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- MA052566 PA
Self-reported in NPPES; status is on the state search - Practice location
- 320 E North Ave Ste 208, Pittsburgh, PA 15212
- Phone
- (724) 941-7490
- Enumerated
- Sep 17, 2006
- Record last updated
- Oct 8, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (724) 941-5231
- Medicare enrollment
- Enrolled (PECOS I20070306000172); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 3,897 in Pennsylvania → Look up another NPI →
Also registered at 320 E North Ave Ste 208
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Adam Kapalko in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA052566Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.2 times the Medicare Part D claims of the average medical physician assistant in 2024
3,619 Medicare Part D claims for 501 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 52% of claims.
Most prescribed
- Metformin Hcl Er336 claims
- Ozempic272 claims
- Jardiance253 claims
- Levothyroxine Sodium243 claims
- Metformin Hcl212 claims
- Nano 2nd Gen Pen Needle173 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 93.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $156.16
3 payments; by number, the most common kind was food and beverage; the largest payer was Gilead Sciences, Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Allegheny ClinicCanonsburg, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Adam Kapalko among 3,897 medical physician assistant records in Pennsylvania
Adam Kapalko, PA-C is one of 3,897 medical physician assistant records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 81% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2006 · median 2015 among the 2,467 with a school on file
- Record last updated2020 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
521 medical physician assistant records list a practice address in Pittsburgh
They are 521 of the 28,866 NPPES records with a practice address in Pittsburgh, and 3,897 medical physician assistant records in Pennsylvania.
All 3,897 in Pennsylvania → Every provider in Pittsburgh → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
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- Christine Guy, PAPittsburgh, PA 152121962442178
- Becky Matchett, PA-CPittsburgh, PA 152121598766008
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Common questions
What is Adam Kapalko, PA-C's NPI number?
Adam Kapalko, PA-C's National Provider Identifier (NPI) is 1891892501, issued on Sep 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Adam Kapalko, PA-C located?
The NPPES record lists a practice address at 320 E North Ave Ste 208, Pittsburgh, PA, 15212. Phone: (724) 941-7490. Providers update this record themselves, so call before visiting.
How can I verify Adam Kapalko, PA-C's license?
NPPES lists Pennsylvania license number MA052566, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Adam Kapalko, PA-C prescribe under Medicare Part D?
In 2024, Adam Kapalko, PA-C had 3,619 Medicare Part D claims for 501 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Adam Kapalko, PA-C's MIPS final score?
The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.