NPPES file of Aug 9, 2026

Matthew R. Dicaprio, MD

Sports Medicine (Orthopaedic Surgery) Physician · Albany, NY

Matthew R. Dicaprio, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Albany, New York, and NPI 1538160700, issued on Aug 10, 2005. Check the license (New York 231602, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1538160700
Name
Matthew R. Dicaprio
Credential
MD
Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
License number
231602 NY
Self-reported in NPPES; status is on the state search
Practice location
1367 Washington Ave, Albany, NY 12206
Phone
(518) 489-2666
Enumerated
Aug 10, 2005
Record last updated
Aug 7, 2026
Medicaid ID
02533659 NY
Medicare enrollment
Enrolled (PECOS I20040714001595); accepts Medicare assignment
Medical or professional school
Yale University School Of Medicine, 2003
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1367 Washington Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeffrey Adams, OPASurgical Physician Assistant1710109855
  2. Crystal Atchinson, PAPhysician Assistant1629379276
  3. Kaushik Bagchi, MDOrthopaedic Surgery Physician1003806373
  4. Dana Barsalow, OTOccupational Therapist1710969852
  5. Kelly Bartosik, PTPhysical Therapist1982078259
  6. Susan Bruce, PHARMDPharmacotherapy Pharmacist1790780682

Verify Matthew R. Dicaprio in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 231602
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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80% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024

57 Medicare Part D claims for 38 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 19 claims were for opioids.

  1. Matthew Dicaprio57
  2. Specialty average288

Most prescribed

  1. Tramadol Hcl13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score64.0
  2. Costout of 100 · 30%86.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $11,514.84

10 payments; by number, the most common kind was food and beverage; the largest payer was SpringWorks Therapeutics, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Dicaprio$11,515
  2. Specialty average$19,779

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Capital Region Orthopaedic Associates, PCAlbany, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Matthew R. Dicaprio among 238 sports medicine (orthopaedic surgery) physician records in New York

Matthew R. Dicaprio, MD is one of 238 sports medicine (orthopaedic surgery) physician records with a practice address in New York. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 87% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated2003 · median 2005 among the 188 with a school on file
  • Record last updated2026 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Orthopaedic Surgery) Physician providers in New York

There are 238 sports medicine (orthopaedic surgery) physician records in New York.

The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes

  1. R. Alley, M.D.Albany, NY 122061821186602
  2. Shankar Das, M.D.Albany, NY 122061386732139
  3. Michael Flaherty, MDAlbany, NY 122061275792483
  4. Paul Hospodar, M.D.Albany, NY 122061457440240
  5. Daniel Phelan, M.D.Albany, NY 122061518056324
  6. James Schneider, M.D.Albany, NY 122061326153743
  7. Kyle Flik, MDAlbany, NY 122051730156910
  8. Richard D'Ascoli, MDSchenectady, NY 123051295737112

Common questions

What is Matthew R. Dicaprio, MD's NPI number?

Matthew R. Dicaprio, MD's National Provider Identifier (NPI) is 1538160700, issued on Aug 10, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Matthew R. Dicaprio, MD located?

The NPPES record lists a practice address at 1367 Washington Ave, Albany, NY, 12206. Phone: (518) 489-2666. Providers update this record themselves, so call before visiting.

How can I verify Matthew R. Dicaprio, MD's license?

NPPES lists New York license number 231602, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Matthew R. Dicaprio, MD prescribe under Medicare Part D?

In 2024, Matthew R. Dicaprio, MD had 57 Medicare Part D claims for 38 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.

What is Matthew R. Dicaprio, MD's MIPS final score?

The 2023 MIPS final score is 85.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.