2026 NPPES data Pulmonary Disease Physician NPI 1326138116 M.D.
Verify on CMS →

Jose Capellan, M.D.

Pulmonary Disease Physician in Lufkin, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease 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
1K
Medicare Part D claims · 178 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
25.3/100
▼ 58 pts below national avg 83.5 · Below average
Industry payments
$248.32
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Jose Capellan, M.D. reported a CMS MIPS final score of 25.3/100 - below the 83.5 national average - and filed 1,205 Medicare Part D claims in 2024.

25.3/100
MIPS score · -58 vs avg
1K
Part D claims, 2024
0%
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.

Federal trust snapshot

What official records show about Jose Capellan, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1326138116), first enumerated 10/13/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,205 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 25.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $248.32 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Jose Capellan, M.D.'s individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1326138116 · Pulmonary Disease Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1326138116
  • ENUM-LEGACY 2006
  • TAX-MID 10K Pulmonary Disease
  • MIPS-LOW 25.3/100
  • RX-MID 1,205
  • BOOK-LIGHT 600 in Texas
  • PHOTO-FINISH Ehab Haj Ali, M.D. · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Jose Capellan, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

25 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jose Capellan, M.D. sits

This provider among pulmonary disease physician peers

Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jose Capellan, M.D. writes more Part D claims than 55% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 85Jose Capellan, M.D., Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Jose Capellan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Jose Capellan, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Jose Capellan, M.D.?

Below national average

NPI registry status

Active

Issued 10/13/2006

NPI 1326138116

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,647 US NPIs in this specialty

Medicare Part D claims

1,205 20% vs specialty avg

2024 prescription claims

Specialty avg: 1,498

MIPS final score

25.3/100 58.2 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Texas

How Pulmonary Disease Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Pulmonary Disease Physician0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Jose Capellan, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
25.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%25.3%
MIPS final score (Pulmonary Disease Physician) - 25.3/100 vs national avg 83.5
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).

Practice Address

3 MEDICAL CENTER BLVD
Lufkin, TX 75904

Provider Details

NPI 1326138116
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 10/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

25.277
Final Score
Measured-score avg: 83.5
20
Quality
48.272
Cost

Reporting: Individual

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 Jose Capellan, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$248

Largest payer

ANI Pharmaceuticals, 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.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Jose Capellan, M.D.. To verify Jose Capellan, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Jose Capellan, M.D. - brand share 62.0%
Pulmonary Disease Physician average

62% brand-name claims vs 0% generic, on 1,205 2024 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 2024.

1,205
Total Claims
$482K
Total Drug Cost
178
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,495.2
Total Day Supply
41,865
Brand vs Generic
62% brand / 0% generic
Brand Drug Cost
$462K
Antibiotic Claims
61

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
2.07
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Jose Capellan, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
303
Albuterol Sulfate Hfa
Albuterol Sulfate
153
Montelukast Sodium
108
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
59
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
59
Prednisone
56
Spiriva Respimat
Tiotropium Bromide
40
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
39
Azithromycin
31
Breo Ellipta
Fluticasone/Vilanterol
31

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

Pulmonary Disease Physician Overview

How Jose Capellan, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider

Jose Capellan, M.D.'s 1,205 claims are below the specialty average of 1,498.

Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Capellan, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (25.3 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Pulmonary Disease Physician Providers in Texas

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

One of 600 Pulmonary Disease Physician providers enrolled in Texas, 5 are shown here.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Jose Capellan, M.D.'s specialty?
Jose Capellan, M.D. specializes in Pulmonary Disease Physician and practices in Lufkin, Texas. Credentials: M.D..
How much does Jose Capellan, M.D. prescribe under Medicare Part D?
In 2024, Jose Capellan, M.D. wrote 1,205 Medicare Part D claims totaling $482K in drug costs for 178 beneficiaries.
What is Jose Capellan, M.D.'s Medicare quality score?
Jose Capellan, M.D. has a CMS MIPS Final Score of 25.3/100 (Quality: 20, Cost: 48.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jose Capellan, M.D. located?
Jose Capellan, M.D. is located at 3 MEDICAL CENTER BLVD, Lufkin, TX, 75904. Phone: (936) 634-0527.
What is Jose Capellan, M.D.'s NPI number?
Jose Capellan, M.D.'s National Provider Identifier (NPI) is 1326138116, issued on 10/13/2006.
Does Jose Capellan, M.D. prescribe more brand-name or generic drugs?
Jose Capellan, M.D.'s prescribing is 62% brand-name and 0% generic drugs by claim count, with $462K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Jose Capellan, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Jose Capellan, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Capellan, M.D. accept Medicare?
Jose Capellan, M.D. appears in CMS Medicare data with 1,205 Part D claims and 178 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Capellan, M.D.'s credentials?
Jose Capellan, M.D.'s NPI is 1326138116 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.