Gaetano Capone, MD
Cardiovascular Disease Physician · Philadelphia, PA
Gaetano Capone, MD is a cardiovascular disease physician with a practice address in Philadelphia, Pennsylvania, and NPI 1669437604, issued on Apr 20, 2006. Check the license (Pennsylvania MD023698E, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Gaetano Capone
- Credential
- MD
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License number
- MD023698E PA
Self-reported in NPPES; status is on the state search - Practice location
- 3998 Red Lion RD, Philadelphia, PA 19114
- Phone
- (215) 281-0800
- Enumerated
- Apr 20, 2006
- Record last updated
- Feb 5, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (215) 281-2725
- Medicaid ID
- 000947024 PA
- Medicare enrollment
- Enrolled (PECOS I20051103000222); accepts Medicare assignment
- Medical or professional school
- Jefferson Medical College Of Thomas Jefferson University, 1979
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 1,476 in Pennsylvania → Look up another NPI →
Also registered at 3998 Red Lion RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jamie Adamski, D.O.Emergency Medicine Physician1902003528
- Randall Ancharski, PACSurgical Physician Assistant1811035991
- Joseph Arcieri, CRNPAdult Health Nurse Practitioner1144563636
- Neeja Bakshi, D.O.Internal Medicine Physician1760668024
- Halfdan Bau-Madsen, D.O.Emergency Medicine Physician1235334616
- Barry Benner, CRNACertified Registered Nurse Anesthetist1710905013
Verify Gaetano Capone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD023698ECheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024
25 Medicare Part D claims, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $349.46
16 payments; by number, the most common kind was food and beverage; the largest payer was Daiichi Sankyo Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Greater Philadelphia Cardiology Assc IncPhiladelphia, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gaetano Capone among 1,476 cardiovascular disease physician records in Pennsylvania
Gaetano Capone, MD is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 20% of them.
- NPI issued2006 · 20% of these records are older, 45% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1979 · median 2000 among the 1,003 with a school on file
- Record last updated2013 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cardiovascular Disease Physician providers in Pennsylvania
There are 1,476 cardiovascular disease physician records in Pennsylvania.
All 1,476 in Pennsylvania → Every provider in Philadelphia → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- Reuben Azad, MDPhiladelphia, PA 191141598104515
- Martin Dominguez, M.D., PH.D.Philadelphia, PA 191141861734188
- Adam Guss, D.OPhiladelphia, PA 191141043693963
- Steven Hess, M.D.Philadelphia, PA 191141245233204
- Joel Miller, D.O.Philadelphia, PA 191141306848684
- Aadhar Patil, M.D.Philadelphia, PA 191141457748881
- Joseph Richerts, MDPhiladelphia, PA 191141922008861
- Robert Schlesinger, M.D.Philadelphia, PA 191141225031172
Common questions
What is Gaetano Capone, MD's NPI number?
Gaetano Capone, MD's National Provider Identifier (NPI) is 1669437604, issued on Apr 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gaetano Capone, MD located?
The NPPES record lists a practice address at 3998 Red Lion RD, Philadelphia, PA, 19114. Phone: (215) 281-0800. Providers update this record themselves, so call before visiting.
How can I verify Gaetano Capone, MD's license?
NPPES lists Pennsylvania license number MD023698E, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gaetano Capone, MD prescribe under Medicare Part D?
In 2024, Gaetano Capone, MD had 25 Medicare Part D claims; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Gaetano Capone, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.