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CARY A CALDWELL M.D.
NPI 1194866038
Internal Medicine - Gastroenterology in New Haven, CT

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
40 TEMPLE ST, SUITE 4A, NEW HAVEN, CT 06510(203) 777-0304(203) 401-4687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cary A Caldwell M.d. NPPES

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

CARY A CALDWELL M.D. (NPI 1194866038) is an individual gastroenterology provider in New Haven, Connecticut, licensed in Connecticut (032340) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1989).

NPPES Registry Identity

NPI1194866038
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCARY A CALDWELLCredential: M.D.
Location Address40 TEMPLE ST, SUITE 4ANew Haven, CT 06510-2715
Mailing Address40 Temple St, Suite 4aNew Haven, CT 06510-2715 · (203) 777-0304 · Fax (203) 401-4687
Phone(203) 777-0304
Fax(203) 401-4687
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1989
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194866038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 032340
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
40 TEMPLE ST, New Haven, CT 06510
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF52766CT
Medicare ID-Type Unspecified100000271CT
Medicaid001323401CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Cary A 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 ID2163431636
PECOS Enrollment IDI20060411000410
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 Cary Caldwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
0.3 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
Mill Hill Medical Consultants Inc
0.3 mi
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
NPI 1952624769 (203) 688-4741

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 8

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 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.
167 services113 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.
93 services41 patients
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.
35 services12 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
24 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers92 claims10,170 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers13 claims1,920 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers81 claims81 services$18.12 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
11 suppliers36 claims36 services$12.27 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.

JOHN W DOBBINS M.D.
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 4A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 777-0304
DR. THOMAS M. HANSON M.D., FACOS
Obstetrics & Gynecology
40 TEMPLE ST, SUITE 7A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-2011
DAVID M WOLFSOHN M.D.
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 4A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 777-0304
RANDY LUCIANO M.D., PH.D.
Internal Medicine (Nephrology)
40 TEMPLE ST, SUITE 1A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4138
MAYRA JANET SANCHEZ DE LA CRUZ MD
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 1A
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4138
STEPHEN M STRITTMATTER MD
Psychiatry & Neurology (Neurology)
40 TEMPLE ST, SUITE 6-C
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4085
CARDIOLOGY ASSOCIATES OF NEW HAVEN, PC
Internal Medicine (Cardiovascular Disease)
40 TEMPLE ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-2272
DR. MEAGAN SARAH CAMPOL M.D., M.P.H
Obstetrics & Gynecology
40 TEMPLE ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 789-2011

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 Cary Caldwell's NPI number?

The NPI number for Cary Caldwell is 1194866038. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Cary Caldwell located?

Cary Caldwell practices at 40 Temple St Suite 4A, New Haven, CT 06510. The listed phone number is (203) 777-0304.

What is Cary Caldwell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Cary Caldwell enrolled in Medicare?

Yes. Cary 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 Cary Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cary Caldwell reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). 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 Cary Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cary Caldwell accept?

Health plans from Anthem Blue Cross and Blue Shield list Cary 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 Cary Caldwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.