2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1851587356 M.D.
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ANTHONY CAFFARELLI, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in MISSOULA, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
136
Medicare Part D claims · 126 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
MIPS score
84.4124/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$17.1K
32 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANTHONY CAFFARELLI, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician ([object Object]) practicing in MISSOULA, Montana with a Medicare Part D prescribing footprint of 136 claims across 126 beneficiaries . Their CMS MIPS Final Score of 84.4124/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $17.1K across 32 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANTHONY CAFFARELLI, M.D. reported a CMS MIPS final score of 84.4124 out of 100, above the 83.1 national average, and filed 136 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANTHONY CAFFARELLI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANTHONY CAFFARELLI, M.D. at a glance

Near national average

NPI registry status

Active

Issued 09/18/2007

NPI 1851587356

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Mid-sized

5,062 US NPIs in this specialty

Medicare Part D claims

136 6% vs specialty avg

2023 prescription claims

Specialty avg: 128

MIPS final score

84.4124/100 1.312400000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Montana providers

Montana providers

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Montana

1. Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Montana

Medicare quality performance — MIPS

ANTHONY CAFFARELLI, M.D.'s 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average

Near national average
MIPS Final Score
84.4124/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — 84.4124/100 vs national avg 83.1

0%100%National avg83%84.4%
MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — 84.4124/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANTHONY CAFFARELLI, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider practicing in MISSOULA, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1851587356. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANTHONY CAFFARELLI, M.D. appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding M.D. credentials at 500 W BROADWAY ST STE 320, MISSOULA, MT, 59802, with a listed phone of (406) 329-5615. NPI 1851587356 was issued on 09/18/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAFFARELLI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 136 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.4124/100 for the 2023 performance year (Quality 90.6795, Cost 57.3618), compared with the national average of 83.1.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

500 W BROADWAY ST STE 320
MISSOULA, MT 59802

Provider Details

NPI 1851587356
Specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 09/18/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.4124
Final Score
Avg: 83.1
90.6795
Quality
57.3618
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANTHONY CAFFARELLI, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PROVIDENCE HEALTH AND SERVICES MT
MISSOULA, MT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANTHONY CAFFARELLI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17.1K

Largest payer

Edwards Lifesciences Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

136
Total Claims
$1K
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
145
Total Day Supply
2,628
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
77.2 years
Avg HCC Risk Score
1.68
Gender Split
34% female / 66% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Mupirocin
126

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview

How ANTHONY CAFFARELLI, M.D. fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.

5,062
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider

ANTHONY CAFFARELLI, M.D.'s 136 claims are above the specialty average of 128.

Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Montana

Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as CAFFARELLI.

Compare Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY CAFFARELLI, M.D.'s specialty?
ANTHONY CAFFARELLI, M.D. specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in MISSOULA, Montana. Credentials: M.D..
How much does ANTHONY CAFFARELLI, M.D. prescribe under Medicare Part D?
In 2023, ANTHONY CAFFARELLI, M.D. wrote 136 Medicare Part D claims totaling $1K in drug costs for 126 beneficiaries.
What is ANTHONY CAFFARELLI, M.D.'s Medicare quality score?
ANTHONY CAFFARELLI, M.D. has a CMS MIPS Final Score of 84.4124/100 (Quality: 90.6795, Cost: 57.3618). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANTHONY CAFFARELLI, M.D. located?
ANTHONY CAFFARELLI, M.D. is located at 500 W BROADWAY ST STE 320, MISSOULA, MT, 59802. Phone: (406) 329-5615.
What is ANTHONY CAFFARELLI, M.D.'s NPI number?
ANTHONY CAFFARELLI, M.D.'s National Provider Identifier (NPI) is 1851587356, issued on 09/18/2007.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US?
There are 5,062 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does ANTHONY CAFFARELLI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANTHONY CAFFARELLI, M.D.'s most frequently prescribed drugs include Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTHONY CAFFARELLI, M.D. accept Medicare?
ANTHONY CAFFARELLI, M.D. appears in CMS Medicare data with 136 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY CAFFARELLI, M.D.'s credentials?
ANTHONY CAFFARELLI, M.D.'s NPI is 1851587356 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology