2026 NPPES data Rheumatology Physician NPI 1467517813 M.D., M.P.H.
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JAMES CAPPADONA, M.D., M.P.H.

Rheumatology Physician in HACKENSACK, New Jersey. 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
509
Medicare Part D claims · 41 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$124.98
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES CAPPADONA, M.D., M.P.H. is a Rheumatology Physician ([object Object]) practicing in HACKENSACK, New Jersey with a Medicare Part D prescribing footprint of 509 claims across 41 beneficiaries — 9% brand-name prescribing . Industry payments of $124.98 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES CAPPADONA, M.D., M.P.H. filed 509 Medicare Part D claims in 2023 across HACKENSACK, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JAMES CAPPADONA, M.D., M.P.H. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JAMES CAPPADONA, M.D., M.P.H. at a glance

Quality data not reported

NPI registry status

Active

Issued 12/26/2006

NPI 1467517813

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

509 75% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in New Jersey

How Rheumatology Physician compares to other specialties among New Jersey providers

New Jersey providers

Rheumatology Physician share within New Jersey

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New Jersey

Specialty board-certification context

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

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

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

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

JAMES CAPPADONA, M.D., M.P.H. is a Rheumatology Physician provider practicing in HACKENSACK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., M.P.H.. NPI: 1467517813. 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.

JAMES CAPPADONA, M.D., M.P.H. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D., M.P.H. credentials at 75 SUMMIT AVE, HACKENSACK, NJ, 07601, with a listed phone of (201) 968-9830. NPI 1467517813 was issued on 12/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAPPADONA 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 509 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $106K in drug spend, split 9% brand-name and 91% 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

75 SUMMIT AVE
HACKENSACK, NJ 07601

Provider Details

NPI 1467517813
Specialty Rheumatology Physician
Credentials M.D., M.P.H.
Gender Male
NPI Issued 12/26/2006

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 JAMES CAPPADONA, M.D., M.P.H.. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Gilead Sciences, Inc.

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.

Brand vs generic prescribing mix · Generic-heavy

JAMES CAPPADONA, M.D., M.P.H. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 509 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.

509
Total Claims
$106K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,050
Total Day Supply
30,947
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$73K
Generic Drug Cost
$33K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.39

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methotrexate
Methotrexate Sodium
50
Hydroxychloroquine Sulfate
43
Colchicine
37
Vascepa
Icosapent Ethyl
29
Duloxetine Hcl
28
Omega-3 Acid Ethyl Esters
26
Leucovorin Calcium
15
Alendronate Sodium
14
Diclofenac Sodium
14
Ezetimibe
14

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

Rheumatology Physician Overview

How JAMES CAPPADONA, M.D., M.P.H. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

JAMES CAPPADONA, M.D., M.P.H.'s 509 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as CAPPADONA.

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

Frequently Asked Questions

What is JAMES CAPPADONA, M.D., M.P.H.'s specialty?
JAMES CAPPADONA, M.D., M.P.H. specializes in Rheumatology Physician and practices in HACKENSACK, New Jersey. Credentials: M.D., M.P.H..
How much does JAMES CAPPADONA, M.D., M.P.H. prescribe under Medicare Part D?
In 2023, JAMES CAPPADONA, M.D., M.P.H. wrote 509 Medicare Part D claims totaling $106K in drug costs for 41 beneficiaries.
Where is JAMES CAPPADONA, M.D., M.P.H. located?
JAMES CAPPADONA, M.D., M.P.H. is located at 75 SUMMIT AVE, HACKENSACK, NJ, 07601. Phone: (201) 968-9830.
What is JAMES CAPPADONA, M.D., M.P.H.'s NPI number?
JAMES CAPPADONA, M.D., M.P.H.'s National Provider Identifier (NPI) is 1467517813, issued on 12/26/2006.
Does JAMES CAPPADONA, M.D., M.P.H. prescribe more brand-name or generic drugs?
JAMES CAPPADONA, M.D., M.P.H.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $73K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does JAMES CAPPADONA, M.D., M.P.H. prescribe most often?
Based on 2023 Medicare Part D data, JAMES CAPPADONA, M.D., M.P.H.'s most frequently prescribed drugs include Methotrexate, Hydroxychloroquine Sulfate, Colchicine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES CAPPADONA, M.D., M.P.H. accept Medicare?
JAMES CAPPADONA, M.D., M.P.H. appears in CMS Medicare data with 509 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES CAPPADONA, M.D., M.P.H.'s credentials?
JAMES CAPPADONA, M.D., M.P.H.'s NPI is 1467517813 with credentials M.D., M.P.H.. 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