NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1639273212 MD
Verify on CMS → Joseph Cappa, MD
Gastroenterology Physician in Glastonbury, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
597
Medicare Part D claims · 279 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.1/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$35.6K
137 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joseph Cappa, MD reported a CMS MIPS final score of 85.1/100 - above the 83.1 national average - and filed 597 Medicare Part D claims in 2023.
- 85.1/100
- MIPS score · +2 vs avg
- 597
- Part D claims, 2023
- 65%
- 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.
Joseph Cappa, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 49th percentile higher than 49% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Joseph Cappa, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Cappa, MD writes more Part D claims than 38% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Joseph Cappa, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Joseph Cappa, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Joseph Cappa, MD?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
597 28% vs specialty avg
MIPS final score
85.1/100 2 pts vs avg
Specialty distribution in Connecticut
How Gastroenterology Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Joseph Cappa, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 85.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 85.1/100 vs national avg 83.1
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).
Joseph Cappa, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 300 WESTERN BLVD, Glastonbury, CT, 06033, with a listed phone of (860) 657-1920. NPI 1639273212 was issued on 09/12/2006.
Medicare Part D records for calendar year 2023 show 597 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $459K in drug spend, split 35% brand-name and 65% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.1/100 for the 2023 performance year (Quality 89.7, Cost 68.3), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1639273212 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.0713
Final Score
Avg: 83.1
89.7092
Quality
68.332
Cost
83
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Joseph Cappa, 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.
According to CMS billing records, Joseph Cappa, MD is affiliated with 3 Medicare-billing facilities, 1 of which carry a CMS Hospital overall star rating.
Hartford Hospital
★★★★☆ 4/5
Hartford, CT
Acute Care Hospitals
CMS CCN: 070025
Connecticut GI PLLC
Glastonbury, CT
Hartford Healthcare Medical Group Specialists PLLC
Bloomfield, CT
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 Joseph Cappa, MD. Source: openpaymentsdata.cms.gov.
Total received
$35.6K
Largest payer
Janssen Biotech, 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 · Above average
Joseph Cappa, MD - brand share 35.0%
Gastroenterology Physician average
35% brand-name claims vs 65% generic, on 597 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.
597
Total Claims
$459K
Total Drug Cost
279
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,133
- Total Day Supply
- 29,217
- Brand vs Generic
- 35% brand / 65% generic
- Brand Drug Cost
- $425K
- Generic Drug Cost
- $34K
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 15, 65-74: 181, 75-84: 69, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joseph Cappa, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
139 claims
- Sutab
Sutab
74 claims
- Omeprazole
Omeprazole
61 claims
- Linzess 31
Linzess
31 claims
- Peg 3350-Electrolyte 31
Peg 3350-Electrolyte
31 claims
- Famotidine 30
Famotidine
30 claims
- Esomeprazole Magne… 26
Esomeprazole Magnesium
26 claims
- Clenpiq 19
Clenpiq
19 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 139 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 74 |
| Omeprazole | 61 |
| Linzess Linaclotide | 31 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 31 |
| Famotidine | 30 |
| Esomeprazole Magnesium | 26 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 19 |
| Lansoprazole | 16 |
| Sucralfate | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Joseph Cappa, MD fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Joseph Cappa, MD's 597 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Cappa.
Dr. Abera Abay
M.D.
Norwich, CT
Dr. Clara Abraham
MD
New Haven, CT
Dr. Charles Adelmann
M.D.
Norwalk, CT
Dr. Anant Agarwalla
M.D.
Wallingford, CT
Dr. Badr Al Bawardy
MD
New Haven, CT
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Joseph Cappa, MD's specialty? ▼
Joseph Cappa, MD specializes in Gastroenterology Physician and practices in Glastonbury, Connecticut. Credentials: MD.
How much does Joseph Cappa, MD prescribe under Medicare Part D? ▼
In 2023, Joseph Cappa, MD wrote 597 Medicare Part D claims totaling $459K in drug costs for 279 beneficiaries.
What is Joseph Cappa, MD's Medicare quality score? ▼
Joseph Cappa, MD has a CMS MIPS Final Score of 85.1/100 (Quality: 89.7, Cost: 68.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Cappa, MD located? ▼
Joseph Cappa, MD is located at 300 WESTERN BLVD, Glastonbury, CT, 06033. Phone: (860) 657-1920.
What is Joseph Cappa, MD's NPI number? ▼
Joseph Cappa, MD's National Provider Identifier (NPI) is 1639273212, issued on 09/12/2006.
Does Joseph Cappa, MD prescribe more brand-name or generic drugs? ▼
Joseph Cappa, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $425K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Joseph Cappa, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Joseph Cappa, MD's most frequently prescribed drugs include Pantoprazole Sodium, Sutab, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Cappa, MD accept Medicare? ▼
Joseph Cappa, MD appears in CMS Medicare data with 597 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Cappa, MD's credentials? ▼
Joseph Cappa, MD's NPI is 1639273212 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
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 (2023). 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 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
Compiled from official public sources by the PlainDoctor editorial team.