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DR. KRISTEN CALDWELL D.O.
NPI 1114333531
Obstetrics & Gynecology in Middletown, OH

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
6147 STATE ROUTE 122 STE 110, MIDDLETOWN, OH 45005(513) 261-3500(513) 261-3509 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2020, Oct 2, 2019, Aug 16, 2018 (3 updates tracked since 2018).

About Dr. Kristen Caldwell D.o. NPPES

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

DR. KRISTEN CALDWELL D.O. (NPI 1114333531) is an individual obstetrics & gynecology provider in Middletown, Ohio, licensed in Ohio (34.013491) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1114333531
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KRISTEN CALDWELLCredential: D.O.
Location Address6147 STATE ROUTE 122 STE 110Middletown, OH 45005-5201
Mailing Address6147 State Route 122 Ste 110Middletown, OH 45005-5201 · (513) 261-3500 · Fax (513) 261-3509
Phone(513) 261-3500
Fax(513) 261-3509
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014
Enumeration DateJuly 7, 2014
Last NPPES UpdateNovember 24, 20203 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1114333531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 34.013491
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6147 STATE ROUTE 122 STE 110, Middletown, OH 45005
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Other Identifiers 1

Medicaid0307646OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristen Caldwell D.o. 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 ID3072863844
PECOS Enrollment IDI20180829002795
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 Reassignments

2

Medicare enrollment records show Kristen Caldwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kettering Independent Medical Group Inc
11 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Dayton Osteopathic Hospital
12 mi
Obstetrics & Gynecology
1989 MIAMISBURG CENTERVILLE RD, SUITE 204
Dayton, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 105 clinicians in this Medicare group
NPI 1053386102 (937) 401-6822

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

Areas of Expertise CMS Part B claims

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.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 3

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

DR. MARK W DAY D.O
Obstetrics & Gynecology
6147 STATE ROUTE 122 STE 110
MIDDLETOWN, OH 45005
Warren County (513) 261-3500
DR. WILLIAM ALTER D.O.
Obstetrics & Gynecology
6147 STATE ROUTE 122 STE 110
MIDDLETOWN, OH 45005
Warren County (513) 261-3500
CLAIRE ROSE HEALY DO
Obstetrics & Gynecology
6147 STATE ROUTE 122 STE 110
MIDDLETOWN, OH 45005
Warren County (513) 424-1654

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 Kristen Caldwell's NPI number?

The NPI number for Kristen Caldwell is 1114333531. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Kristen Caldwell located?

Kristen Caldwell practices at 6147 State Route 122 Ste 110, Middletown, OH 45005. The listed phone number is (513) 261-3500.

What is Kristen Caldwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristen Caldwell enrolled in Medicare?

Yes. Kristen 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 organizations bill Medicare for Kristen Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Caldwell reassigns Medicare benefits to 2 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH) and Dayton Osteopathic Hospital (Dayton, OH). Each 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 Kristen Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Caldwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Kristen 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 Kristen Caldwell affiliated with any hospitals?

According to CMS data, Kristen Caldwell is affiliated with Atrium Medical Center and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Kristen Caldwell was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.