KYLE LANCE CAULFIELD MD
NPI 1164420162
Internal Medicine in Hammond, LA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403(985) 542-6251(985) 345-2386 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Lance Caulfield Md NPPES

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

KYLE LANCE CAULFIELD MD (NPI 1164420162) is an individual internal medicine provider in Hammond, Louisiana, licensed in Louisiana (014722) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1977).

NPPES Registry Identity

NPI1164420162
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKYLE LANCE CAULFIELDCredential: MD
Location Address42388 PELICAN PROFESSIONAL PARKHammond, LA 70403-1475
Mailing Address42388 Pelican Professional ParkHammond, LA 70403-1475 · (985) 542-6251 · Fax (985) 345-2386
Fax(985) 345-2386
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1977
Enumeration DateJuly 13, 2005
Last NPPES UpdateApril 30, 2008
NPI 1164420162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 014722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
42388 PELICAN PROFESSIONAL PARK, Hammond, LA 70403

Other Identifiers 5

Other4250494LA · Aetna Us Healthcare
Medicaid1312622LA
Medicare ID-Type Unspecified5J496CB03LA
Medicare UPIND79344
Other2705920003LA · Cigna Of La

Accepted 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

Kyle Lance Caulfield Md 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 ID5597660035
PECOS Enrollment IDI20100820000708
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 20

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,077 services228 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.
343 services131 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
338 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
178 services137 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
153 services120 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
116 services15 patients

Hospital Affiliations CMS Care Compare

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

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…
100%353 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims66 services$6.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims27 services$1.18 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$15.94 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims53 services$2.42 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,598 services$1.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers14 claims14 services$14.78 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.

Nurse Practitioner (Gerontology)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Internal Medicine (Nephrology)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Family)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Family Medicine
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Adult Health)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Podiatrist (Primary Podiatric Medicine)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Family)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Family)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403

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 Kyle Caulfield's NPI number?

The NPI number for Kyle Caulfield is 1164420162. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Kyle Caulfield located?

Kyle Caulfield practices at 42388 Pelican Professional Park, Hammond, LA 70403. The listed phone number is (985) 542-6251.

What is Kyle Caulfield's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyle Caulfield enrolled in Medicare?

Yes. Kyle Caulfield 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 Kyle Caulfield accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Kyle Caulfield 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 Kyle Caulfield affiliated with any hospitals?

According to CMS data, Kyle Caulfield is affiliated with North Oaks Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Caulfield was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.