2026 NPPES data Emergency Medicine Physician NPI 1407858772 MD
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RICHARD CAPITO, MD

Emergency Medicine Physician in CHARLESTON, West Virginia. 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
3K
Medicare Part D claims · 263 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1191/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$70.75
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICHARD CAPITO, MD is a Emergency Medicine Physician ([object Object]) practicing in CHARLESTON, West Virginia with a Medicare Part D prescribing footprint of 3K claims across 263 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 90.1191/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $70.75 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICHARD CAPITO, MD reported a CMS MIPS final score of 90.1191 out of 100, above the 83.1 national average, and filed 3,452 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)

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

RICHARD CAPITO, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/01/2005

NPI 1407858772

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

3,452 881% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

90.1191/100 7.019100000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Emergency Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Emergency Medicine Physician share within West Virginia

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within West Virginia

Medicare quality performance — MIPS

RICHARD CAPITO, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.1191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 90.1191/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Emergency Medicine Physician) — 90.1191/100 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).

RICHARD CAPITO, MD is a Emergency Medicine Physician provider practicing in CHARLESTON, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407858772. 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.

RICHARD CAPITO, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1097 FLEDDERJOHN RD, CHARLESTON, WV, 25314, with a listed phone of (304) 345-3627. NPI 1407858772 was issued on 06/01/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAPITO 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 3,452 prescription claims written by this provider, covering 263 Medicare beneficiaries and totaling roughly $323K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.7%. 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 90.1191/100 for the 2023 performance year (Quality 66.9698), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1097 FLEDDERJOHN RD
CHARLESTON, WV 25314

Provider Details

NPI 1407858772
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/01/2005

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 RICHARD CAPITO, MD. Source: openpaymentsdata.cms.gov.

Total received

$71

Largest payer

Novartis Pharmaceuticals Corporation

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 · Typical

RICHARD CAPITO, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,452 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.

3,452
Total Claims
$323K
Total Drug Cost
263
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,138
Total Day Supply
240,210
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$264K
Generic Drug Cost
$57K
Opioid Claims
126 (3.7% rate)
Antibiotic Claims
26

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.03
Gender Split
42% female / 58% male
Age Distribution
<65: 18, 65-74: 147, 75-84: 73, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
214
Metoprolol Succinate
144
Levothyroxine Sodium
139
Losartan Potassium
139
Amlodipine Besylate
113
Alprazolam
90
Simvastatin
88
Gabapentin
86
Metformin Hcl Er
Metformin Hcl
76
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
72

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

Emergency Medicine Physician Overview

How RICHARD CAPITO, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

RICHARD CAPITO, MD's 3,452 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as CAPITO.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD CAPITO, MD's specialty?
RICHARD CAPITO, MD specializes in Emergency Medicine Physician and practices in CHARLESTON, West Virginia. Credentials: MD.
How much does RICHARD CAPITO, MD prescribe under Medicare Part D?
In 2023, RICHARD CAPITO, MD wrote 3,452 Medicare Part D claims totaling $323K in drug costs for 263 beneficiaries.
What is RICHARD CAPITO, MD's Medicare quality score?
RICHARD CAPITO, MD has a CMS MIPS Final Score of 90.1191/100 (Quality: 66.9698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD CAPITO, MD located?
RICHARD CAPITO, MD is located at 1097 FLEDDERJOHN RD, CHARLESTON, WV, 25314. Phone: (304) 345-3627.
What is RICHARD CAPITO, MD's NPI number?
RICHARD CAPITO, MD's National Provider Identifier (NPI) is 1407858772, issued on 06/01/2005.
Does RICHARD CAPITO, MD prescribe more brand-name or generic drugs?
RICHARD CAPITO, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $264K in brand drug costs.
Does RICHARD CAPITO, MD prescribe opioids?
Yes, RICHARD CAPITO, MD had 126 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does RICHARD CAPITO, MD prescribe most often?
Based on 2023 Medicare Part D data, RICHARD CAPITO, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD CAPITO, MD accept Medicare?
RICHARD CAPITO, MD appears in CMS Medicare data with 3,452 Part D claims and 263 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD CAPITO, MD's credentials?
RICHARD CAPITO, MD's NPI is 1407858772 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