2026 NPPES data Gastroenterology Physician NPI 1639273212 MD
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JOSEPH CAPPA, MD

Gastroenterology Physician in GLASTONBURY, Connecticut. 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
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
85.0713/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$35.6K
137 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH CAPPA, MD is a Gastroenterology Physician ([object Object]) practicing in GLASTONBURY, Connecticut with a Medicare Part D prescribing footprint of 597 claims across 279 beneficiaries — 35% brand-name prescribing . Their CMS MIPS Final Score of 85.0713/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $35.6K across 137 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSEPH CAPPA, MD reported a CMS MIPS final score of 85.0713 out of 100, above the 83.1 national average, and filed 597 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

JOSEPH CAPPA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/12/2006

NPI 1639273212

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

597 28% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

85.0713/100 1.9712999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Gastroenterology Physician compares to other specialties among Connecticut providers

Connecticut providers

Gastroenterology Physician share within Connecticut

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

Medicare quality performance — MIPS

JOSEPH CAPPA, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
85.0713/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 85.0713/100 vs national avg 83.1

0%100%National avg83%85.1%
MIPS final score (Gastroenterology Physician) — 85.0713/100 vs national avg 83.1

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 is a Gastroenterology Physician provider practicing in GLASTONBURY, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1639273212. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAPPA 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 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. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.0713/100 for the 2023 performance year (Quality 89.7092, Cost 68.332), 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

300 WESTERN BLVD
GLASTONBURY, CT 06033

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.

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%
Specialty average (est.)

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.

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.

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

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 85.0713/100 (Quality: 89.7092, Cost: 68.332). 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

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