Dr. Edward A. Capone, DO

  • Port Richey, FL
  • Family medicine physician
NPI1396749131PAC ID3274678362
Medicare services, 2024
974
Medicare patients, 2024
111
Part D claims, 2024
7,587
Publications
2
MIPS score, 2024
85
Practice address
11528 Us Highway 19, Port Richey, FL 34668
Practice phone
Call (727) 868-2151
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Gulf Coast Medical Center Port Richey North - Urgent Care

Urgent Care Center · Port Richey, Florida

See all 10 affiliations

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Dr. Edward A. Capone is a family medicine physician in Port Richey, Florida

Dr. Capone practices at Gulf Coast Medical Center Port Richey North - Urgent Care in Port Richey, Florida.

Dr. Capone's NPI, 1396749131, was assigned on June 9, 2005. Dr. Capone graduated from Chicago College of Osteopathic Medicine at Midwestern University in 1976. Dr. Capone holds Florida license OS0003776.

NPI and contact details
Medicare PAC ID
3274678362
NPI enumeration date
June 9, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(727) 868-2151
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
76
Medical school graduation
1976

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Edward A. Capone practices at Gulf Coast Medical Center Port Richey North - Urgent Care in Port Richey, Florida

Dr. Capone's primary practice is Gulf Coast Medical Center Port Richey North - Urgent Care, at 11528 Us Highway 19, Port Richey, FL 34668. The practice phone is (727) 868-2151.

  • Gulf Coast Medical Center Port Richey North - Urgent Care
    11528 Us Highway 19, Port Richey, FL 34668Phone(727) 868-2151

Source: Dmand AI Affiliation Data

Dr. Edward A. Capone is affiliated with 8 sites of care and 2 medical groups

Dr. Capone's primary practice is Gulf Coast Medical Center Port Richey North - Urgent Care in Port Richey, Florida. The medical group on file is Gulf Coast Medical Center. Dmand AI also links Dr. Capone to 3 more skilled nursing facilities, 1 group practice or clinic, 1 home health agency, 1 hospice, 1 therapy and rehab clinic and 1 medical group, each named with a free account. Dr. Capone's employer is on file too: an urgent care center.

See all 10 affiliations for Dr. Capone

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Edward A. Capone's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Capone practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Gulf Coast Medical Center Port Richey North - Urgent CareAvailable with a free account
+7 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Edward A. Capone is one of 7,735 family medicine physicians in Florida

Family medicine is Dr. Capone's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. Capone is board certified in 1977 - 2026 by the FL State License. Dr. Capone is licensed in Florida.

Specialties and state licenses

  • Family medicine, FloridaPrimaryLicense OS0003776 · taxonomy 207Q00000X

Clinical focus

Dmand AI lists acid reflux, acute gastroduodenitis, acute sinusitis, ADHD, alzheimer's disease, aneurysm, ankle or foot injury and anxiety among the conditions Dr. Capone treats.

Family medicine physicians near Dr. Capone

Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

7,735family medicine physicians in Florida
6family medicine physicians in Port Richey

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Edward A. Capone billed Medicare for 974 services in 2024

CMS data shows 974 Medicare services from Dr. Capone across 20 procedure codes in 2024, for 111 Medicare patients. Medicare paid $44,262 for them.

Medicare services, 2024974
Medicare patients111
Paid by Medicare$44,262
Procedure codes20

Dr. Capone's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5442024: 5391%
Lab and pathology
2023: 6432024: 39638%
Other services
2023: 312024: 2616%
Imaging
2023: 222024: 1341%
Drugs given in the office
2023: 682024: 0100%
Tests and treatments
2023: 412024: 0100%

Where Dr. Capone's Medicare services took place, 2024

  • In an office82685%
  • In a facility14815%

Dr. Capone compared with the Florida median for family medicine physicians, 2024

  • Dr. Capone
  • Florida median
Medicare services
974vs 3932.5 times
Medicare patients
111vs 17235% below
Part D claims
6,792vs 9796.9 times

Medians across 7,484 family medicine physicians in Florida with Dmand AI profiles that report each measure.

Dr. Capone's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Capone

Need commercial claims for Dr. Capone?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Capone and other family medicine physicians in Florida.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Edward A. Capone treated 111 Medicare patients in 2024, average age 77

CMS counts 111 Medicare patients who saw Dr. Capone in 2024. The largest group is 65 to 74, with 38 patients. 75% of them have high blood pressure, and 72% have high cholesterol. 23% are also on Medicaid. Their average risk score is 1.64, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Capone's median patient age at 73, with 60% women.

Medicare patients, 2024111
Average age77
Average risk score1.64
Also on Medicaid23%

Dr. Capone's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Capone's Medicare patients by sex, 2024

  • Women6054%
  • Men5146%

Chronic conditions among Dr. Capone's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol72%
  3. Arthritis64%
  4. Anxiety51%
  5. Ischemic heart disease47%
  6. COPD43%
  7. Diabetes39%
  8. Mood disorders36%

Share of Medicare patients with each condition. A patient can have several.

Dr. Capone's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women60%
  • Men39%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Edward A. Capone wrote 7,587 Medicare Part D claims in 2024

In 2024, Dr. Capone wrote 7,587 Medicare Part D claims for 315 patients. 88% of them were for generic drugs. CMS names the drug for 6,792 of them, across 145 drugs with 11 or more claims each, at $372,500 in total drug cost. In 2023, CMS named 6,918 claims across 152 drugs.

Part D claims, 20247,587
Drugs named by CMS145
Total drug cost$372,500
Part D patients315

Dr. Capone's Part D claims by kind of drug, 2024

  • Generic6,671 claims88%
  • Brand-name878 claims12%
  • Other38 claims1%

Dr. Capone's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Capone's Part D claims, 2024

  • Opioids10%729 of 7,587 claims
  • Antibiotics4%303 of 7,587 claims
  • Antipsychotics, patients 65 and over0%35 of 7,587 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6,9182024: 6,7922%

Drugs named by CMS: 145 in 2024, 152 in 2023.

See all prescribing by Dr. Capone

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Edward A. Capone scored 85 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. Capone for performance year 2024, reported as part of a group. Dr. Capone accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Capone as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Capone's MIPS scores, performance year 2024

  • 85of 100Final score
  • 71.7of 100Quality
  • 98of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Edward A. Capone has 2 publications on record

Dmand AI links 2 papers to Dr. Capone, published from 2010 to 2022. Dr. Capone's most frequent co-author is Nicole Joy Durfey, MD.

Papers2
Years published2010 to 2022

Dr. Capone's most frequent co-authors

Recent publications by Dr. Capone

See all 2 publications and co-authors

See who Dr. Capone researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Capone works with, so you can find a warm path to the right family medicine physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Edward A. Capone received $2,111 in industry payments from 2016 to 2025

CMS Open Payments shows 108 general payments to Dr. Capone from 27 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Pfizer Inc. paid the most, $727.

General payments to Dr. Capone by program year, 2016 to 2025

Companies that paid Dr. Capone the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Capone

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Edward A. Capone has 4 awards and honors on record

Dmand AI lists 4 awards for Dr. Capone, most recently NCQA PCMH in 2014.

Awards and honors for Dr. Capone

  1. 2014
    • NCQA PCMH
  2. 2013
    • CMS Stage 1 EHR
    • NCQA DRP
  3. 2012
    • NCQA PPC

Source: Dmand AI Professional Profile Data

Dr. Edward A. Capone graduated from Chicago College of Osteopathic Medicine at Midwestern University

Dr. Capone graduated from Chicago College of Osteopathic Medicine at Midwestern University in 1976. Dr. Capone is a member of AOA.

  1. Medical schoolChicago College of Osteopathic Medicine at Midwestern University
  2. Board certified in 1977 - 2026FL State License

Source: Dmand AI Professional Profile Data

Dr. Edward A. Capone accepts plans from 14 insurance carriers

Dr. Capone is in network with 14 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Excellus BlueCross BlueShield
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • Aspirus Health Plan
  • HCSC
  • Alliant Health Plans
  • +6 more carriersWith a free account

Plan types Dr. Capone accepts, by number of carriers

  1. PPO9
  2. HMO8
  3. POS6
  4. EPO5
  5. Medicare5

Source: Dmand AI Insurance Network Data

Sources for Dr. Edward A. Capone's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Edward A. Capone

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Edward A. Capone's NPI number?

Dr. Edward A. Capone's NPI number is 1396749131. It was assigned on June 9, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Edward A. Capone?

Dr. Edward A. Capone is a family medicine physician in Port Richey, Florida. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).

Where does Dr. Edward A. Capone practice?

Dr. Capone practices at 11528 Us Highway 19, Port Richey, FL 34668. Dr. Capone's primary practice is Gulf Coast Medical Center Port Richey North - Urgent Care in Port Richey, Florida. Dmand AI also links Dr. Capone to 3 skilled nursing facilities, 1 group practice or clinic, 1 home health agency, 1 hospice, 1 therapy and rehab clinic and 1 medical group.

What is Dr. Edward A. Capone's office phone number?

The practice phone on file for Dr. Capone is (727) 868-2151.

What is Dr. Edward A. Capone's medical license number?

Dr. Capone holds Florida license OS0003776.

What medical group is Dr. Edward A. Capone part of?

Dr. Capone is linked to Gulf Coast Medical Center. Dmand AI links Dr. Capone to 1 more medical group.

Does Dr. Edward A. Capone accept Medicare?

Yes. CMS data shows Dr. Capone billed Medicare for 974 services in 2024, and Dr. Capone accepts Medicare assignment.

Does Dr. Edward A. Capone offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Capone as offering telehealth services.

What is Dr. Edward A. Capone's MIPS score?

Dr. Capone's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.

How many Medicare patients does Dr. Edward A. Capone see?

CMS counts 111 Medicare patients who saw Dr. Capone in 2024, with an average age of 77.

Show 9 more questionsShow fewer questions

Is Dr. Edward A. Capone board certified?

Yes. Dr. Capone is board certified in 1977 - 2026 by the FL State License.

What services does Dr. Edward A. Capone bill to Medicare?

In 2024, Dr. Capone's most billed Medicare services were office visit, established patient (99214), nursing facility care (99309) and care management and other visits (99490).

Where did Dr. Edward A. Capone go to medical school?

Dr. Capone graduated from Chicago College of Osteopathic Medicine at Midwestern University in 1976.

What drugs does Dr. Edward A. Capone prescribe most?

In 2024 Medicare Part D data, Dr. Capone's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Alprazolam and Atorvastatin Calcium.

Has Dr. Edward A. Capone received payments from drug or device companies?

CMS Open Payments shows $2,111 in general payments to Dr. Capone from 27 companies from 2016 to 2025. The largest total came from Pfizer Inc.

How long has Dr. Edward A. Capone been practicing?

Dr. Capone graduated from medical school in 1976, 50 years ago.

Does Dr. Edward A. Capone do research?

Dmand AI links 2 publications to Dr. Capone, published from 2010 to 2022.

Who does Dr. Edward A. Capone publish with?

Dr. Capone's most frequent co-authors are Nicole Joy Durfey, MD (1 shared paper).

What insurance does Dr. Edward A. Capone accept?

Dr. Capone is in network with 14 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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