Dr. Edward A. Capone, DO
- 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
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Gulf Coast Medical Center Port Richey North - Urgent Care
Urgent Care Center · Port Richey, Florida
Find Dr. Capone's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
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
- 1396749131NPI Registry (opens in a new tab)
- 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
- Get number
- 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 Care11528 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.
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.
| Site | EHR vendor and product |
|---|---|
| Gulf Coast Medical Center Port Richey North - Urgent Care | Available with a free account |
| +7 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.
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, FloridaPrimary
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.
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.
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.
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.
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.
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
- High blood pressure75%
- High cholesterol72%
- Arthritis64%
- Anxiety51%
- Ischemic heart disease47%
- COPD43%
- Diabetes39%
- 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.
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.
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
For MedTech and pharma teams
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
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.
Dr. Capone's most frequent co-authors
Recent publications by Dr. Capone
Aliment Pharmacol Ther
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.
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.
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
- 2014
- NCQA PCMH
- 2013
- CMS Stage 1 EHR
- NCQA DRP
- 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.
- Medical school
- Board certified in 1977 - 2026
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
- PPO9
- HMO8
- POS6
- EPO5
- Medicare5
Source: Dmand AI Insurance Network Data
Sources for Dr. Edward A. Capone's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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.
Selling to family medicine practices?
See family medicine physicians in Florida by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card