Medicare Enrolled

Dr. Gaetano Capone, MD

Cardiovascular Disease · Philadelphia, PA
Practice pattern: Electrophysiology & Cardiac — Practice combining electrophysiology and cardiac services
Low-engagement
3998 RED LION RD, Philadelphia, PA 19114
2152810800
In practice since 2006 (20 years)
NPI: 1669437604 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Capone from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Capone? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Capone

Dr. Gaetano Capone is a cardiovascular disease specialist in Philadelphia, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Capone performed 1,967 Medicare services across 1,623 unique beneficiaries.

Between the years covered by Open Payments, Dr. Capone received a total of $2,575 from 25 pharmaceutical and/or device companies across 127 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Capone is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 41% volume in PA $2,575 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,967
Medicare services
Top 41% in PA for cardiovascular disease
1,623
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~98 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
465 $10 $30
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
387 $139 $375
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
335 $68 $120
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
204 $135 $380
Ultrasound of leg arteries or grafts
An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present.
137 $195 $430
Ultrasound of arm or leg veins
An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers.
94 $127 $325
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
72 $98 $175
Continuous EKG monitoring review, 48-7 days
Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days.
52 $18 $50
Continuous external EKG monitoring, 48 hours to 7 days
This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days.
51 $10 $50
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels.
32 $120 $315
Continuous external EKG monitoring, 8-15 days
This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days.
24 $10 $45
External EKG monitoring, 8-15 days
Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm.
24 $21 $75
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
23 $81 $175
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
23 $135 $265
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
18 $39 $70
Complete ultrasound of brain blood flow
An ultrasound test that evaluates blood flow within the brain's blood vessels. It uses sound waves to create images of the vessels and assess circulation.
13 $229 $520
Ultrasound of arm arteries or grafts
An ultrasound exam of the arteries in one arm or any arterial grafts present. This imaging test uses sound waves to visualize blood flow and vessel structure.
13 $80 $195
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
21.3% high complexity
23.4% medium
55.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,575
Total received (2018-2024)
Avg $368/year across 7 years
Top 46% in PA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
127
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,575 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$349
2023
$331
2022
$361
2021
$181
2020
$77
2019
$603
2018
$673

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Daiichi Sankyo Inc.
$112
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$53
SCPHARMACEUTICALS INC.
$38
Lexicon Pharmaceuticals, Inc.
$35
Kestra Medical Technology Services, Inc.
$31
Boston Scientific Corporation
$28
PFIZER INC.
$21
Philips North America LLC
$19
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 57.8% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$358
Janssen Pharmaceuticals, Inc
$300
PFIZER INC.
$246
AstraZeneca Pharmaceuticals LP
$240
BOSTON SCIENTIFIC CORPORATION
$197
Amgen Inc.
$191
Novartis Pharmaceuticals Corporation
$138
Daiichi Sankyo Inc.
$135
Merck Sharp & Dohme LLC
$124
Boehringer Ingelheim Pharmaceuticals, Inc.
$99
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$87
Lexicon Pharmaceuticals, Inc.
$58
Edwards Lifesciences Corporation
$55
AtriCure, Inc.
$44
Braemar Manufacturing, LLC
$43
SCPHARMACEUTICALS INC.
$38
Philips Electronics North America Corporation
$34
Impulse Dynamics (USA) Inc.
$33
Kestra Medical Technology Services, Inc.
$31
Abbott Laboratories
$28
E.R. Squibb & Sons, L.L.C.
$27
Philips North America LLC
$19
Preventice Services, LLC
$18
Kiniksa Pharmaceuticals, Ltd.
$17
MEDICOMP INC
$16
Top 3 companies account for 35.1% of all-time payments
Associated products mentioned in payments ›
(5050) Ext Holter · (5050) Extended Holter · (CK4) MCOT · Arcalyst · Assure WCD · AtriCure Synergy Ablation System · BRILINTA · CAMZYOS · CHANTIX · Cardiac Monitor · Cardiac Monitoring Suite · Corlanor · ELIQUIS · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FUROSCIX · HeartMate · INJECTAFER · Inpefa · JARDIANCE · JOT DX · LifeVest · Optimizer · PRADAXA · Repatha · VERQUVO · VYNDAQEL · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a cardiovascular disease specialist in Philadelphia?
Compare cardiologists in the Philadelphia area by procedure volume, costs, and industry payment transparency.
Browse cardiologists nearby

Geographic Context

Cardiologists within 10 mi
726
Per 100K population
45.9
County median income
$60,698
Nearest hospital
JEFFERSON HEALTH- NORTHEAST
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Capone is an electrophysiology & cardiac specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Capone experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Capone performed 465 electrocardiogram (ekg), 12-lead services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Capone receive payments from pharmaceutical companies?
Yes. Dr. Capone received a total of $2,575 from 25 companies across 127 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Capone's costs compare to other cardiologists in Philadelphia?
Dr. Capone's average Medicare payment per service is $86. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Capone) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →