Physician

Anthony D. Caffarelli, M.D.

According to 2025 Medicare claims, Anthony Caffarelli, M.D. (NPI: 1851587356) practices thoracic surgery in the Missoula, MT market, with the plurality of this provider's patient population coming from Missoula, MT. This provider's primary affiliated billing organization is PROVIDENCE HEALTH & SERVICES MT (NPI: 1427096585; TIN: 810231793) and primary practice location at 59802-4096. Caffarelli is affiliated with the Health Connect Partners, LLC (ACO ID: A2342) and Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Caffarelli's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 260 traditional Medicare patients, billed 589 HCPCS/CPT codes, and received $236,366 in Medicare payments. The top billing code was 33361 (Replacement of aortic valve through the skin and femoral artery). Part D data shows 78 prescription claims across 76 beneficiaries totaling $429 in drug costs, led by Mupirocin (Mupirocin). Open Payments data shows 49 records totaling $87,876. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,249 and ending at $429. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	224	432	$237,239
2016	225	454	$246,480
2017	285	529	$280,102
2018	272	469	$239,425
2019	312	571	$305,521
2020	290	581	$343,802
2021	337	586	$307,448
2022	303	560	$269,811
2023	327	678	$324,515
2024	260	589	$236,366

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	103	123	$1,249
2016	95	112	$1,264
2017	141	160	$1,850
2018	93	106	$985
2019	102	135	$1,449
2020	156	295	$7,910
2021	117	166	$3,631
2022	131	137	$1,486
2023	126	136	$1,319
2024	76	78	$429

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
33361	Replacement of aortic valve through the skin and femoral artery	28	28	$587
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	100	100	$146
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	107	$103
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	34	39	$26
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	23	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mupirocin	Mupirocin	76	1,220	$423

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	32	$17,145	Edwards Lifesciences Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	17	$70,730	Edwards Lifesciences Corporation
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Anthony D. Caffarelli, M.D.?

Tedicare shows public-source Medicare data for Anthony D. Caffarelli, M.D. (NPI 1851587356), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Anthony D. Caffarelli, M.D. have ACO affiliation data?

Anthony D. Caffarelli, M.D. is shown with ACO affiliation data for Health Connect Partners, LLC (MSSP, ACO ID A2342) and Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Anthony D. Caffarelli, M.D.?

Anthony D. Caffarelli, M.D. is linked to PROVIDENCE HEALTH & SERVICES MT (billing NPI 1427096585) in the available physician profile data.

Does Anthony D. Caffarelli, M.D. have Open Payments data?

Anthony D. Caffarelli, M.D. has 49 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.