Dr. Mario Kapetsonis
- Gender: Male
- Experience: 23 years
- Graduation year: 1998
- Sole propriator: No
- NPI: 1306833991
Dr. Mario Kapetsonis M.D.
Family Physician
He is located at 734 North Jackson Street in Milwaukee, WI 53202. Can help patients with the following: Abdominal Pain, Autism, General Care, Migraine, Prenatal Care, Thyroid Disease. His National Provider Identifier (NPI) number is 1306833991. Appointment can be made via the phone number (414) 277-6500.
Conditions treated
Dr. Mario Kapetsonis, being an family physician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Mario Kapetsonis.
- Abdominal Pain
- Aging In Place
- Anxiety
- Arthritis
- Asthma
- Autism
- Birth Control Counseling
- Breastfeeding and Lactation
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Diabetes
- Fever
- General Care
- Headache
- Heart Disease
- High Blood Pressure
- Hyperlipidemia
- Hypothyroidism
- Infant Care
- Influenza
- Migraine
- Mold Exposure
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Pregnancy
- Prenatal Care
- Prescription Refill
- Thyroid Disease
- Women's Health
Procedures Performed by Dr. Mario Kapetsonis
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Mario Kapetsonis as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Network Health
Network data as of Jun 9, 2026, as reported by the insurer.
Show all 14 plans from Network Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Prestige Bronze $0 Medical Deductible (2 plan variants) | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductible | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental + Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental +Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze Essential + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessential | Accepting new patients |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessentialdv | Accepting new patients |
| Prestige Bronze Plus | HMO · Expanded Bronze | Prestigebronzeplus | Accepting new patients |
| Prestige Gold | HMO · Gold | Prestigegold | Accepting new patients |
| Prestige Gold 50 + 1 Free PCP Visit | HMO · Gold | Prestigegoldfifty | Accepting new patients |
| Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit | HMO · Gold | Prestigegoldfiftydv | Accepting new patients |
| Prestige Gold Essential + 3Free PCP Visits | HMO · Gold | Prestigegoldessential | Accepting new patients |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits | HMO · Gold | Prestigegoldessentialdv | Accepting new patients |
| Prestige Silver | HMO · Silver | Prestigesilver | Accepting new patients |
| Prestige Silver Essential + 3 Free PCP Visits | HMO · Silver | Prestigesilveressential | Accepting new patients |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits | HMO · Silver | Prestigesilveressentialdv | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Mario Kapetsonis is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Mario Kapetsonis is enrolled to bill Medicare as a Practitioner - Family Practice .
Bills through: Columbia St Marys Hospital Milwaukee Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Studies
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Questions & Answers
Does Dr. Mario Kapetsonis accept patients with Network Health?
Yes, Dr. Mario Kapetsonis is listed in-network for Network Health through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
What conditions does Dr. Mario Kapetsonis treat?
Dr. Mario Kapetsonis provides treatment for Abdominal Pain, Autism, General Care, Migraine, Prenatal Care, Thyroid Disease. For the full list see this list.
Where can you meet with Dr. Mario Kapetsonis?
Dr. Mario Kapetsonis's office is located at 734 North Jackson Street in Milwaukee, WI 53202.