2026 NPPES data Nephrology Physician NPI 1184995094 M.D.
Verify on CMS →

MATTHEW KAPTEIN, M.D.

Nephrology Physician in LOMA LINDA, California. 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
643
Medicare Part D claims · 121 beneficiaries · Nephrology Physician avg: 1K
MIPS score
85.186/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

MATTHEW KAPTEIN, M.D. reported a CMS MIPS final score of 85.186/100 — above the 83.1 national average — and filed 643 Medicare Part D claims in 2023.

85.186/100
MIPS score · +2 vs avg
643
Part D claims, 2023
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.

MATTHEW KAPTEIN, M.D.'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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

MATTHEW KAPTEIN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 MATTHEW KAPTEIN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 01/24/2012

NPI 1184995094

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

643 56% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

85.186/100 2.0860000000000127% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Nephrology Physician compares to other specialties among California providers

California providers

Nephrology Physician share within California

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

Medicare quality performance — MIPS

MATTHEW KAPTEIN, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
85.186/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 85.186/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Nephrology Physician) — 85.186/100 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).

MATTHEW KAPTEIN, M.D. is a Nephrology Physician provider practicing in LOMA LINDA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1184995094. 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.

MATTHEW KAPTEIN, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 11234 ANDERSON ST, LOMA LINDA, CA, 92354, with a listed phone of (909) 558-4906. NPI 1184995094 was issued on 01/24/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPTEIN 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 643 prescription claims written by this provider, covering 121 Medicare beneficiaries and totaling roughly $148K in drug spend. 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 85.186/100 for the 2023 performance year (Quality 71.8166, Cost 64.5435), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

11234 ANDERSON ST
LOMA LINDA, CA 92354

Provider Details

NPI 1184995094
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 01/24/2012

CMS Quality Score (MIPS)

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

85.186
Final Score
Avg: 83.1
71.8166
Quality
64.5435
Cost
82
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATTHEW KAPTEIN, M.D. 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.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM
LOMA LINDA, CA
SAC HEALTH SYSTEM
SAN BERNARDINO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to MATTHEW KAPTEIN, M.D.. To verify MATTHEW KAPTEIN, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

643
Total Claims
$148K
Total Drug Cost
121
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,298
Total Day Supply
37,611
Generic Drug Cost
$31K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
4.26
Gender Split
55% female / 45% male
Age Distribution
<65: 36, 65-74: 41, 75-84: 29, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Carvedilol
61
Amlodipine Besylate
54
Calcitriol
54
Aranesp
Darbepoetin Alfa In Polysorbat
45
Losartan Potassium
45
Lisinopril
33
Furosemide
28
Nifedipine Er
Nifedipine
20
Allopurinol
15
Spironolactone
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How MATTHEW KAPTEIN, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

MATTHEW KAPTEIN, M.D.'s 643 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as KAPTEIN.

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

Frequently Asked Questions

What is MATTHEW KAPTEIN, M.D.'s specialty?
MATTHEW KAPTEIN, M.D. specializes in Nephrology Physician and practices in LOMA LINDA, California. Credentials: M.D..
How much does MATTHEW KAPTEIN, M.D. prescribe under Medicare Part D?
In 2023, MATTHEW KAPTEIN, M.D. wrote 643 Medicare Part D claims totaling $148K in drug costs for 121 beneficiaries.
What is MATTHEW KAPTEIN, M.D.'s Medicare quality score?
MATTHEW KAPTEIN, M.D. has a CMS MIPS Final Score of 85.186/100 (Quality: 71.8166, Cost: 64.5435). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW KAPTEIN, M.D. located?
MATTHEW KAPTEIN, M.D. is located at 11234 ANDERSON ST, LOMA LINDA, CA, 92354. Phone: (909) 558-4906.
What is MATTHEW KAPTEIN, M.D.'s NPI number?
MATTHEW KAPTEIN, M.D.'s National Provider Identifier (NPI) is 1184995094, issued on 01/24/2012.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does MATTHEW KAPTEIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW KAPTEIN, M.D.'s most frequently prescribed drugs include Carvedilol, Amlodipine Besylate, Calcitriol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW KAPTEIN, M.D. accept Medicare?
MATTHEW KAPTEIN, M.D. appears in CMS Medicare data with 643 Part D claims and 121 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW KAPTEIN, M.D.'s credentials?
MATTHEW KAPTEIN, M.D.'s NPI is 1184995094 with credentials M.D.. 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