NPI registry status
Active
2026 NPPES data Pediatric Critical Care Medicine Physician NPI 1043224009 MD, PHD
Verify on CMS → Joshua Cappell, MD, PHD
Pediatric Critical Care Medicine Physician in Hackensack, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,247 in Pediatric Critical Care Medicine 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
20
Medicare Part D claims · Pediatric Critical Care Medicine Physician avg: 91
Generic prescribing
0%
generic claims · 80% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Joshua Cappell, MD, PHD filed 20 Medicare Part D claims in 2023 as a Pediatric Critical Care Medicine Physician in Hackensack, New Jersey, prescribing 0% generic.
- 20
- Part D claims, 2023
- 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.
Joshua Cappell, MD, PHD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
20 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Joshua Cappell, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Joshua Cappell, MD, PHD?
Quality data not reportedPrimary specialty
Pediatric Critical Care Medicine Physician
Medicare Part D claims
20 78% vs specialty avg
Specialty distribution in New Jersey
How Pediatric Critical Care Medicine Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Critical Care Medicine Physician. Verify directly:
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).
Joshua Cappell, MD, PHD appears in the CMS NPPES registry as a Pediatric Critical Care Medicine Physician provider holding MD, PHD credentials at 30 PROSPECT AVENUE, Hackensack, NJ, 07601, with a listed phone of (551) 996-3200. NPI 1043224009 was issued on 07/27/2006.
Medicare Part D records for calendar year 2023 show 20 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $24K in drug spend, split 80% brand-name and 0% generic by claim count.
Pediatric Critical Care Medicine Physician is a narrow specialty nationwide, with 2,247 enrolled providers across 52 states and an average of 91 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 | 1043224009 |
|---|---|
| Specialty | Pediatric Critical Care Medicine Physician |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 07/27/2006 |
Hospital and facility affiliations
Facilities where Joshua Cappell, MD, PHD 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.
Hackensack Meridian Health Medical Group - Specialty Care PC
Hackensack, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
Joshua Cappell, MD, PHD - brand share 80.0%
Pediatric Critical Care Medicine Physician average
80% brand-name claims vs 0% generic, on 20 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.
20
Total Claims
$24K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20
- Total Day Supply
- 488
- Brand vs Generic
- 80% brand / 0% generic
- Brand Drug Cost
- $24K
Patient Demographics
- Average Patient Age
- 43.0 years
- Avg HCC Risk Score
- 1.69
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Nurtec Odt Rimegepant Sulfate | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pediatric Critical Care Medicine Physician in NJ →
All providers in New Jersey →
Compare specialties →
Pediatric Critical Care Medicine Physician Overview
How Joshua Cappell, MD, PHD fits within the Pediatric Critical Care Medicine Physician landscape nationally.
2,247
Pediatric Critical Care Medicine Physician Providers in US
52
States with Pediatric Critical Care Medicine Physician
91
Avg Claims per Provider
Joshua Cappell, MD, PHD's 20 claims are below the specialty average of 91.
Nearby Pediatric Critical Care Medicine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Cappell.
Dr. Toah Alafita
D.O.
Morristown, NJ
Dr. Keneisha Bailey
M.D.
Camden, NJ
Dr. David Bigos
MD
Voorhees, NJ
Thomas Bojko
New Brunswick, NJ
Dr. Carla Cangemi
MD
New Brunswick, NJ
Compare Pediatric Critical Care Medicine 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Critical Care Medicine 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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Medical Specialties Explained
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Frequently Asked Questions
What is Joshua Cappell, MD, PHD's specialty? ▼
Joshua Cappell, MD, PHD specializes in Pediatric Critical Care Medicine Physician and practices in Hackensack, New Jersey. Credentials: MD, PHD.
How much does Joshua Cappell, MD, PHD prescribe under Medicare Part D? ▼
In 2023, Joshua Cappell, MD, PHD wrote 20 Medicare Part D claims totaling $24K in drug costs for N/A beneficiaries.
Where is Joshua Cappell, MD, PHD located? ▼
Joshua Cappell, MD, PHD is located at 30 PROSPECT AVENUE, Hackensack, NJ, 07601. Phone: (551) 996-3200.
What is Joshua Cappell, MD, PHD's NPI number? ▼
Joshua Cappell, MD, PHD's National Provider Identifier (NPI) is 1043224009, issued on 07/27/2006.
Does Joshua Cappell, MD, PHD prescribe more brand-name or generic drugs? ▼
Joshua Cappell, MD, PHD's prescribing is 80% brand-name and 0% generic drugs by claim count, with $24K in brand drug costs.
How many Pediatric Critical Care Medicine Physician providers are there in the US? ▼
There are 2,247 Pediatric Critical Care Medicine Physician providers across 52 states in the US. The average Pediatric Critical Care Medicine Physician provider writes 91 Medicare Part D claims per year.
What drugs does Joshua Cappell, MD, PHD prescribe most often? ▼
Based on 2023 Medicare Part D data, Joshua Cappell, MD, PHD's most frequently prescribed drugs include Nurtec Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joshua Cappell, MD, PHD accept Medicare? ▼
Joshua Cappell, MD, PHD appears in CMS Medicare data with 20 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joshua Cappell, MD, PHD's credentials? ▼
Joshua Cappell, MD, PHD's NPI is 1043224009 with credentials MD, PHD. 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.
- 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.