2026 NPPES data Surgery of the Hand (Surgery) Physician NPI 1427260405 MD
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ANTHONY CAPITO, MD

Surgery of the Hand (Surgery) Physician in ROANOKE, Virginia. 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
26
Medicare Part D claims · 20 beneficiaries · Surgery of the Hand (Surgery) Physician avg: 175
Industry payments
$782.34
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANTHONY CAPITO, MD filed 26 Medicare Part D claims in 2023 as a Surgery of the Hand (Surgery) Physician in ROANOKE, Virginia.

26
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 CAPITO, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

26 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

ANTHONY CAPITO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 CAPITO, MD?

Quality data not reported

NPI registry status

Active

Issued 05/04/2007

NPI 1427260405

Primary specialty

Surgery of the Hand (Surgery) Physician

Rare

394 US NPIs in this specialty

Medicare Part D claims

26 85% vs specialty avg

2023 prescription claims

Specialty avg: 175

Specialty distribution in Virginia

How Surgery of the Hand (Surgery) Physician compares to other specialties among Virginia providers

Virginia providers

Surgery of the Hand (Surgery) Physician share within Virginia

1. Surgery of the Hand (Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery of the Hand (Surgery) Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Surgery of the Hand (Surgery) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery of the Hand (Surgery) Physician ABMS/AOA estimate

Est. board-certified rate (Surgery of the Hand (Surgery) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery of the Hand (Surgery) Physician) — ABMS / AOA estimate

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 CAPITO, MD appears in the CMS NPPES registry as a Surgery of the Hand (Surgery) Physician provider holding MD credentials at 3 RIVERSIDE CIR, ROANOKE, VA, 24016, with a listed phone of (540) 510-6200. NPI 1427260405 was issued on 05/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAPITO 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 26 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $179 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.

Surgery of the Hand (Surgery) Physician is a narrow specialty nationwide, with 394 enrolled providers across 44 states and an average of 175 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

3 RIVERSIDE CIR
ROANOKE, VA 24016

Provider Details

NPI 1427260405
Specialty Surgery of the Hand (Surgery) Physician
Credentials MD
Gender Male
NPI Issued 05/04/2007

Hospital and facility affiliations

Facilities where ANTHONY CAPITO, MD 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.

CARILION MEDICAL CENTER
★★★☆☆ 3/5
ROANOKE, VA
Acute Care Hospitals
CMS CCN: 490024

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 CAPITO, MD. Source: openpaymentsdata.cms.gov.

Total received

$782

Largest payer

Mentor Worldwide LLC

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.

26
Total Claims
$179
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26
Total Day Supply
264
Generic Drug Cost
$165

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.19

Surgery of the Hand (Surgery) Physician Overview

How ANTHONY CAPITO, MD fits within the Surgery of the Hand (Surgery) Physician landscape nationally.

394
Surgery of the Hand (Surgery) Physician Providers in US
44
States with Surgery of the Hand (Surgery) Physician
175
Avg Claims per Provider

ANTHONY CAPITO, MD's 26 claims are below the specialty average of 175.

Nearby Surgery of the Hand (Surgery) Physician Providers in Virginia

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

Compare Surgery of the Hand (Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY CAPITO, MD's specialty?
ANTHONY CAPITO, MD specializes in Surgery of the Hand (Surgery) Physician and practices in ROANOKE, Virginia. Credentials: MD.
How much does ANTHONY CAPITO, MD prescribe under Medicare Part D?
In 2023, ANTHONY CAPITO, MD wrote 26 Medicare Part D claims totaling $179 in drug costs for 20 beneficiaries.
Where is ANTHONY CAPITO, MD located?
ANTHONY CAPITO, MD is located at 3 RIVERSIDE CIR, ROANOKE, VA, 24016. Phone: (540) 510-6200.
What is ANTHONY CAPITO, MD's NPI number?
ANTHONY CAPITO, MD's National Provider Identifier (NPI) is 1427260405, issued on 05/04/2007.
How many Surgery of the Hand (Surgery) Physician providers are there in the US?
There are 394 Surgery of the Hand (Surgery) Physician providers across 44 states in the US. The average Surgery of the Hand (Surgery) Physician provider writes 175 Medicare Part D claims per year.
Does ANTHONY CAPITO, MD accept Medicare?
ANTHONY CAPITO, MD appears in CMS Medicare data with 26 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY CAPITO, MD's credentials?
ANTHONY CAPITO, MD's NPI is 1427260405 with credentials MD. 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.
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