NPPES file of Aug 9, 2026

Jack Capodice, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · Bloomington, IL

Jack Capodice, MD, DMD is an oral and maxillofacial surgery (dentist) with a practice address in Bloomington, Illinois, and NPI 1053397612, issued on Dec 15, 2005. Check the license (Illinois 019022744, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053397612
Name
Jack Capodice
Credential
MD, DMD
Primary taxonomy
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License number
019022744 IL
Self-reported in NPPES; status is on the state search
Practice location
109 N Regency Dr, Bloomington, IL 61701
Phone
(309) 663-2526
Enumerated
Dec 15, 2005
Record last updated
Apr 6, 2026
Fax
(309) 663-4788
Medicare enrollment
Enrolled (PECOS I20050105000094); accepts Medicare assignment
Medical or professional school
University Of Missouri, Columbia School Of Medicine, 1990
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 109 N Regency Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Taneenop Aramphongphan, D.M.D.Oral and Maxillofacial Surgery (Dentist)1750766358
  2. David Efaw, MD, DDSOral and Maxillofacial Surgery (Dentist)1700862877
  3. Anthony Elger, DMDOral and Maxillofacial Surgery (Dentist)1114363579
  4. Thomas Ocheltree, DMDOral and Maxillofacial Surgery (Dentist)1205892973

Verify Jack Capodice in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 019022744
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
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2.1 times the Medicare Part D claims of the average oral and maxillofacial surgery (dentist) in 2024

846 Medicare Part D claims for 389 beneficiaries, against an average of 406 among the 5,870 providers of this specialty who prescribed in Part D. 120 claims were for opioids.

  1. Jack Capodice846
  2. Specialty average406

Most prescribed

  1. Chlorhexidine Gluconate305 claims
  2. Penicillin V Potassium139 claims
  3. Clindamycin Hcl100 claims
  4. Amoxicillin98 claims
  5. Hydrocodone-Acetaminophen68 claims
  6. Tramadol Hcl51 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.

Industry payments in 2024: $233.42

9 payments; by number, the most common kind was food and beverage; the largest payer was BioHorizons Implant Systems Inc. The 4,075 providers of this specialty with any payment received $1,077.58 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jack Capodice$233.42
  2. Specialty average$1,077.58

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

  1. Capodice Efaw Ocheltree And Elger PLLCBloomington, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Oral and Maxillofacial Surgery (Dentist) providers in Illinois

There are 322 oral and maxillofacial surgery (dentist) records in Illinois.

Other oral and maxillofacial surgery (dentist) records in Illinois

  1. William Abbott, DDSChicago, IL1891908737
  2. Samer Abdelsamie, D.M.DMaywood, IL1366732257
  3. James Adams, DDSBourbonnais, IL1225192826
  4. Hussein Ads, BDSMaywood, IL1801966940
  5. Paul Akers, DDSEvanston, IL1639149909
  6. Stephen Albers, DDSRockford, IL1295733210
  7. Michael Alexander, DMDWinnetka, IL1376955443
  8. William Anderson, DDSGreat Lakes, IL1780657221
  9. Kevin Andrus, DDSChicago, IL1689797243
  10. James Appiah, DMDRockford, IL1114408598

Common questions

What is Jack Capodice, MD, DMD's NPI number?

Jack Capodice, MD, DMD's National Provider Identifier (NPI) is 1053397612, issued on Dec 15, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Jack Capodice, MD, DMD located?

The NPPES record lists a practice address at 109 N Regency Dr, Bloomington, IL, 61701. Phone: (309) 663-2526. Providers update this record themselves, so call before visiting.

How can I verify Jack Capodice, MD, DMD's license?

NPPES lists Illinois license number 019022744, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

How much does Jack Capodice, MD, DMD prescribe under Medicare Part D?

In 2024, Jack Capodice, MD, DMD had 846 Medicare Part D claims for 389 beneficiaries; the average among oral and maxillofacial surgery (dentist) prescribers was 406. Part D covers Medicare prescriptions only.

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.