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BRIAN THOMAS CALDWELL M.D.
NPI 1114177128
Urology - Pediatric Urology in Aurora, CO

Active since September 26, 2008PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE, BOX 463, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian Thomas Caldwell M.d. NPPES

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

BRIAN THOMAS CALDWELL M.D. (NPI 1114177128) is an individual pediatric urology provider in Aurora, Colorado, licensed in Colorado (DR.0055256) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114177128
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameBRIAN THOMAS CALDWELLCredential: M.D.
Location Address13123 E 16TH AVE, BOX 463Aurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 777-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 26, 2008
Last NPPES UpdateAugust 29, 2016
✔ NPI 1114177128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in CO · DR.0055256
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
13123 E 16TH AVE, Aurora, CO 80045
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Thomas Caldwell 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 ID4587988852
PECOS Enrollment IDI20161027002414
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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Caldwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physicians Incorporated
0.1 mi
Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
NPI 1083662498 (720) 777-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,440 services$1.49 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 Brian Caldwell's NPI number?

The NPI number for Brian Caldwell is 1114177128. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Brian Caldwell located?

Brian Caldwell practices at 13123 E 16th Ave Box 463, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Brian Caldwell's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Brian Caldwell enrolled in Medicare?

Yes. Brian 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.

Which organization bills Medicare for Brian Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Caldwell reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Caldwell accept?

Health plans from Select Health list Brian 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.

When was this NPI record last updated?

The NPPES record for Brian Caldwell was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.