2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1245269083 MD
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RAFFI KAPITANYAN, MD

Emergency Medical Services (Emergency Medicine) Physician in NEW BRUNSWICK, 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
1K
Medicare Part D claims · 883 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

RAFFI KAPITANYAN, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,466 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
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.

RAFFI KAPITANYAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

RAFFI KAPITANYAN, 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).

What does the federal data show about RAFFI KAPITANYAN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/02/2006

NPI 1245269083

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

1,466 272% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among New Jersey providers

New Jersey providers

Emergency Medical Services (Emergency Medicine) Physician share within New Jersey

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within New Jersey

Medicare quality performance — MIPS

RAFFI KAPITANYAN, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

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

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 100/100 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).

RAFFI KAPITANYAN, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 1 RWJ PLACE, NEW BRUNSWICK, NJ, 08903, with a listed phone of (732) 828-3000. NPI 1245269083 was issued on 07/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPITANYAN 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 1,466 prescription claims written by this provider, covering 883 Medicare beneficiaries and totaling roughly $24K 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 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

1 RWJ PLACE
NEW BRUNSWICK, NJ 08903

Provider Details

NPI 1245269083
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 07/02/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAFFI KAPITANYAN, 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.

BRUNSWICK URGENT CARE P A
FRANKLIN PARK, 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).

Medicare Part D Prescribing Data

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

1,466
Total Claims
$24K
Total Drug Cost
883
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,508
Total Day Supply
14,792
Generic Drug Cost
$15K
Antibiotic Claims
698

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
0.94
Gender Split
65% female / 35% male
Age Distribution
<65: 48, 65-74: 456, 75-84: 291, 85+: 88

Top Prescribed Drugs (Medicare Part D)

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

What RAFFI KAPITANYAN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
283
Methylprednisolone
246
Prednisone
180
Cefuroxime
Cefuroxime Axetil
136
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
65
Ciprofloxacin Hcl
44
Triamcinolone Acetonide
44
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
42
Cephalexin
40
Azithromycin
29

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

Emergency Medical Services (Emergency Medicine) Physician Overview

How RAFFI KAPITANYAN, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

RAFFI KAPITANYAN, MD's 1,466 claims are above the specialty average of 394.

Nearby Emergency Medical Services (Emergency 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 KAPITANYAN.

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFFI KAPITANYAN, MD's specialty?
RAFFI KAPITANYAN, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in NEW BRUNSWICK, New Jersey. Credentials: MD.
How much does RAFFI KAPITANYAN, MD prescribe under Medicare Part D?
In 2023, RAFFI KAPITANYAN, MD wrote 1,466 Medicare Part D claims totaling $24K in drug costs for 883 beneficiaries.
What is RAFFI KAPITANYAN, MD's Medicare quality score?
RAFFI KAPITANYAN, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAFFI KAPITANYAN, MD located?
RAFFI KAPITANYAN, MD is located at 1 RWJ PLACE, NEW BRUNSWICK, NJ, 08903. Phone: (732) 828-3000.
What is RAFFI KAPITANYAN, MD's NPI number?
RAFFI KAPITANYAN, MD's National Provider Identifier (NPI) is 1245269083, issued on 07/02/2006.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
What drugs does RAFFI KAPITANYAN, MD prescribe most often?
Based on 2023 Medicare Part D data, RAFFI KAPITANYAN, MD's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Methylprednisolone, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFFI KAPITANYAN, MD accept Medicare?
RAFFI KAPITANYAN, MD appears in CMS Medicare data with 1,466 Part D claims and 883 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFFI KAPITANYAN, MD's credentials?
RAFFI KAPITANYAN, MD's NPI is 1245269083 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