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DR. JOSEPH MARTIN CALDWELL II M.D.
NPI 1114127313
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Elkhart, IN

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
78.32/100
CMS Quality Rating
2310 CALIFORNIA RD, ELKHART, IN 46514(574) 264-4163(574) 262-9650 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Joseph Martin Caldwell Ii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH MARTIN CALDWELL II M.D. (NPI 1114127313) is an individual orthopaedic surgery of the spine provider in Elkhart, Indiana, licensed in Indiana (01071097A) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Wayne State University School Of Medicine (2006).

NPPES Registry Identity

NPI1114127313
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. JOSEPH MARTIN CALDWELL IICredential: M.D.
Location Address2310 CALIFORNIA RDElkhart, IN 46514-1228
Mailing Address2310 California RdElkhart, IN 46514-1228 · (574) 264-4163 · Fax (574) 262-9650
Phone(574) 264-4163
Fax(574) 262-9650
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateJuly 25, 2007
Last NPPES UpdateAugust 14, 2012
✔ NPI 1114127313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in IN · 01071097A
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01071097A (IN)
2310 CALIFORNIA RD, Elkhart, IN 46514
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Other Identifiers 1

Medicaid201074810IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Martin Caldwell Ii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284803347
PECOS Enrollment IDI20120829000030
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
149 services117 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
89 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services69 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
35 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability90
Improvement Activities40
Cost78.03

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%467 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,822 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%624 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%316 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%580 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%983 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
62%316 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
83%833 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
40%248 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 86% · 625 patients
Patients tobacco: 90% · 40 patients
85%625 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%983 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%983 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 316 patients
2%316 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN WOBBE PT
Physical Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
MARIAN SEEVERS OTR
Occupational Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
SONIA MANTILLA PT
Physical Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
DR. SEAN MATTHEW HENNING D.P.M.
Podiatrist
2310 CALIFORNIA RD
ELKHART, IN 46514
Elkhart County (574) 264-0791
BREANNE ALICIA LATTIMER MED LAT ATC
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA RD
ELKHART, IN 46514
Elkhart County (574) 264-0791
SARA KORIN KRISTI ATKINSON LAT ATC CSCS
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA RD
ELKHART, IN 46514
Elkhart County (574) 264-0791
EDDIE J WICKLINE CRNA
Nurse Anesthetist, Certified Registered
2310 CALIFORNIA RD, STE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
AMY WHITINGER M.ED., A.T.C, L.A.T.
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA RD
ELKHART, IN 46514
Elkhart County (574) 264-0791

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Caldwell's NPI number?

The NPI number for Joseph Caldwell is 1114127313. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Joseph Caldwell located?

Joseph Caldwell practices at 2310 California Rd, Elkhart, IN 46514. The listed phone number is (574) 264-4163.

What is Joseph Caldwell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Joseph Caldwell enrolled in Medicare?

Yes. Joseph Caldwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Caldwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Joseph Caldwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Caldwell affiliated with any hospitals?

According to CMS data, Joseph Caldwell is affiliated with Elkhart General Hospital and Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Caldwell was last updated on August 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.