2026 NPPES data Pulmonary Disease Physician NPI 1821199951 MD
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MARIA CAPO, MD

Pulmonary Disease Physician in NORTH BERGEN, 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
5K
Medicare Part D claims · 663 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
23%
generic claims · 77% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8046/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$1.5K
79 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARIA CAPO, MD is a Pulmonary Disease Physician ([object Object]) practicing in NORTH BERGEN, New Jersey with a Medicare Part D prescribing footprint of 5K claims across 663 beneficiaries — 77% brand-name prescribing . Their CMS MIPS Final Score of 75.8046/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.5K across 79 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARIA CAPO, MD reported a CMS MIPS final score of 75.8046 out of 100, below the 83.1 national average, and filed 4,505 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)

MARIA CAPO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARIA CAPO, MD at a glance

Below national average

NPI registry status

Active

Issued 09/25/2006

NPI 1821199951

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

4,505 209% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

75.8046/100 7.295400000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Pulmonary Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Pulmonary Disease Physician share within New Jersey

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

Medicare quality performance — MIPS

MARIA CAPO, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
75.8046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 75.8046/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Pulmonary Disease Physician) — 75.8046/100 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).

MARIA CAPO, MD is a Pulmonary Disease Physician provider practicing in NORTH BERGEN, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1821199951. 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.

MARIA CAPO, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 700 79TH ST, NORTH BERGEN, NJ, 07047, with a listed phone of (201) 861-7900. NPI 1821199951 was issued on 09/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAPO 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 4,505 prescription claims written by this provider, covering 663 Medicare beneficiaries and totaling roughly $2.6 million in drug spend, split 77% brand-name and 23% 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 75.8046/100 for the 2023 performance year (Quality 68.6551, Cost 50.6935), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

700 79TH ST
NORTH BERGEN, NJ 07047

Provider Details

NPI 1821199951
Specialty Pulmonary Disease Physician
Credentials MD
Gender Female
NPI Issued 09/25/2006

CMS Quality Score (MIPS)

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

75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARIA CAPO, 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.

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).

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 MARIA CAPO, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Mylan Specialty L.P.

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 · Brand-heavy

MARIA CAPO, MD — brand share 77.0%
Specialty average (est.)

77% brand-name claims vs 23% generic, on 4,505 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.

4,505
Total Claims
$2.6M
Total Drug Cost
663
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,917
Total Day Supply
134,281
Brand vs Generic
77% brand / 23% generic
Brand Drug Cost
$2.6M
Antibiotic Claims
123

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.86
Gender Split
70% female / 30% male
Age Distribution
<65: 65, 65-74: 312, 75-84: 228, 85+: 58

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
1,780
Albuterol Sulfate Hfa
Albuterol Sulfate
591
Breo Ellipta
Fluticasone/Vilanterol
497
Prednisone
198
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
166
Fluticasone Propionate
141
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
126
Ventolin Hfa
Albuterol Sulfate
115
Montelukast Sodium
100
Azithromycin
77

* 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 MARIA CAPO, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

MARIA CAPO, MD's 4,505 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is MARIA CAPO, MD's specialty?
MARIA CAPO, MD specializes in Pulmonary Disease Physician and practices in NORTH BERGEN, New Jersey. Credentials: MD.
How much does MARIA CAPO, MD prescribe under Medicare Part D?
In 2023, MARIA CAPO, MD wrote 4,505 Medicare Part D claims totaling $2.6M in drug costs for 663 beneficiaries.
What is MARIA CAPO, MD's Medicare quality score?
MARIA CAPO, MD has a CMS MIPS Final Score of 75.8046/100 (Quality: 68.6551, Cost: 50.6935). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARIA CAPO, MD located?
MARIA CAPO, MD is located at 700 79TH ST, NORTH BERGEN, NJ, 07047. Phone: (201) 861-7900.
What is MARIA CAPO, MD's NPI number?
MARIA CAPO, MD's National Provider Identifier (NPI) is 1821199951, issued on 09/25/2006.
Does MARIA CAPO, MD prescribe more brand-name or generic drugs?
MARIA CAPO, MD's prescribing is 77% brand-name and 23% generic drugs by claim count, with $2.6M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does MARIA CAPO, MD prescribe most often?
Based on 2023 Medicare Part D data, MARIA CAPO, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIA CAPO, MD accept Medicare?
MARIA CAPO, MD appears in CMS Medicare data with 4,505 Part D claims and 663 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIA CAPO, MD's credentials?
MARIA CAPO, MD's NPI is 1821199951 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