NPI registry status
Active
2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1851587356 M.D.
Verify on CMS → Anthony Caffarelli, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missoula, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,062 in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
136
Medicare Part D claims · 126 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
MIPS score
84.4/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$17.1K
32 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Anthony Caffarelli, M.D. reported a CMS MIPS final score of 84.4/100 - above the 83.1 national average - and filed 136 Medicare Part D claims in 2023.
- 84.4/100
- MIPS score · +1 vs avg
- 136
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Anthony Caffarelli, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 45th percentile higher than 45% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Anthony Caffarelli, M.D. sits
This provider among thoracic surgery (cardiothoracic vascular surgery) physician peers
Across the 820 thoracic surgery (cardiothoracic vascular surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Caffarelli, M.D. writes more Part D claims than 79% of them and scores higher on MIPS quality than 43% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one thoracic surgery (cardiothoracic vascular surgery) physician peer from a representative sample of 60; the gold marker is Anthony Caffarelli, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Anthony Caffarelli, M.D.?
Near national averagePrimary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Medicare Part D claims
136 6% vs specialty avg
MIPS final score
84.4/100 1.3 pts vs avg
Specialty distribution in Montana
How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Montana providers
Medicare quality performance, MIPS
Anthony Caffarelli, M.D.'s 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average
- MIPS Final Score
- 84.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) - 84.4/100 vs national avg 83.1
How MIPS and board certification work
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. 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.4/100 for the 2023 performance year (Quality 90.7, Cost 57.4), 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
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.
More Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in MT →
All providers in Montana →
Compare specialties →
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.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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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 84.4/100 (Quality: 90.7, Cost: 57.4). 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.