CHARLES CADDY II RPA-C
NPI 1194702712
Physician Assistant in Anthony, KS

Q: What is Charles Caddy's NPI number?

The NPI number for Charles Caddy is 1194702712. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is Charles Caddy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Caddy was last updated on December 7, 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.

Active since December 23, 2005

485 N KS HWY 2, ANTHONY, KS 67003(620) 914-1200(620) 914-1256 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2020, Dec 5, 2020 (2 updates tracked since 2020).

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About Charles Caddy Ii Rpa-c NPPES

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

CHARLES CADDY II RPA-C (NPI 1194702712) is an individual physician assistant in Anthony, Kansas, licensed in Kansas (1500771) and active in the NPI registry since December 2005. He maintains a secondary practice location in Harper.

NPPES Registry Identity

NPI1194702712

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCHARLES CADDY IICredential: RPA-C

Location Address485 N KS HWY 2Anthony, KS 67003-2526

Mailing Address485 N Ks Hwy 2Anthony, KS 67003-2526 · (620) 914-1200 · Fax (620) 914-1256

Phone(620) 914-1200

Fax(620) 914-1256

Sole ProprietorYes

Enumeration DateDecember 23, 2005

Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1194702712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KS · 1500771

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

485 N KS HWY 2, Anthony, KS 67003

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Secondary Practice Location 1

Location 1700 W. 13THHarper, KS 67058-1401 · Phone (620) 896-7306 · Fax (620) 896-2084

Other Identifiers 1

Medicaid100407220EKS

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

81%53 patients4/55-star benchmark: 99%

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.

53%1,023 patients1/55-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

54%103 patients3/55-star benchmark: 90%

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: 89% · 151 patients

Patients tobacco: 66% · 151 patients

3%36 patients1/55-star benchmark: 98%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients physicalActivity: 2% · 58 patients

100%58 patients

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.

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Other Providers at the Same Location NPPES 17

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

DR. NIZAR D KIBAR MD

Internal Medicine (Geriatric Medicine)