2026 NPPES data Hospitalist Physician NPI 1326006743 M.D.
Verify on CMS →

BARTHO CAPONI, M.D.

Hospitalist Physician in MADISON, Wisconsin. 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
3K
Medicare Part D claims · 3K beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

BARTHO CAPONI, M.D. filed 3,086 Medicare Part D claims in 2023 as a Hospitalist Physician in MADISON, Wisconsin, prescribing 99% generic.

3K
Part D claims, 2023
99%
generic prescribing
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.

BARTHO CAPONI, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

3,086 Top 11% higher than 89% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

BARTHO CAPONI, M.D. 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 BARTHO CAPONI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/03/2006

NPI 1326006743

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

3,086 248% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Wisconsin

How Hospitalist Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hospitalist Physician share within Wisconsin

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Hospitalist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospitalist Physician ABMS/AOA estimate

Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospitalist 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).

BARTHO CAPONI, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 600 HIGHLAND AVE, MADISON, WI, 53792, with a listed phone of (608) 263-0572. NPI 1326006743 was issued on 05/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAPONI 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 3,086 prescription claims written by this provider, covering 3,017 Medicare beneficiaries and totaling roughly $42K in drug spend, split 1% brand-name and 99% generic by claim count. 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

600 HIGHLAND AVE
MADISON, WI 53792

Provider Details

NPI 1326006743
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 05/03/2006

Hospital and facility affiliations

Facilities where BARTHO CAPONI, 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.

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
MADISON, WI

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

Brand vs generic prescribing mix · Generic-heavy

BARTHO CAPONI, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 3,086 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,086
Total Claims
$42K
Total Drug Cost
3,017
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,088
Total Day Supply
16,001
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$3K
Generic Drug Cost
$255

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.03
Gender Split
59% female / 41% male
Age Distribution
<65: 189, 65-74: 1,584, 75-84: 967, 85+: 277

Top Prescribed Drugs (Medicare Part D)

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

What BARTHO CAPONI, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
2,208
Lagevrio (Eua)
Molnupiravir
826
Furosemide
14
Paxlovid
Nirmatrelvir/Ritonavir
11

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

Hospitalist Physician Overview

How BARTHO CAPONI, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

BARTHO CAPONI, M.D.'s 3,086 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Wisconsin

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BARTHO CAPONI, M.D.'s specialty?
BARTHO CAPONI, M.D. specializes in Hospitalist Physician and practices in MADISON, Wisconsin. Credentials: M.D..
How much does BARTHO CAPONI, M.D. prescribe under Medicare Part D?
In 2023, BARTHO CAPONI, M.D. wrote 3,086 Medicare Part D claims totaling $42K in drug costs for 3,017 beneficiaries.
Where is BARTHO CAPONI, M.D. located?
BARTHO CAPONI, M.D. is located at 600 HIGHLAND AVE, MADISON, WI, 53792. Phone: (608) 263-0572.
What is BARTHO CAPONI, M.D.'s NPI number?
BARTHO CAPONI, M.D.'s National Provider Identifier (NPI) is 1326006743, issued on 05/03/2006.
Does BARTHO CAPONI, M.D. prescribe more brand-name or generic drugs?
BARTHO CAPONI, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $3K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does BARTHO CAPONI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BARTHO CAPONI, M.D.'s most frequently prescribed drugs include Paxlovid (Eua), Lagevrio (Eua), Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BARTHO CAPONI, M.D. accept Medicare?
BARTHO CAPONI, M.D. appears in CMS Medicare data with 3,086 Part D claims and 3,017 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BARTHO CAPONI, M.D.'s credentials?
BARTHO CAPONI, M.D.'s NPI is 1326006743 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.
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