CALEB B CANTRELL MD
NPI 1205413051
Emergency Medicine in Smithville, TN

Q: What is Caleb Cantrell's NPI number?

The NPI number for Caleb Cantrell is 1205413051. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Caleb Cantrell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Cantrell was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 26, 2021PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

520 W MAIN ST, SMITHVILLE, TN 37166(615) 215-5000 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 9, 2024, Jul 1, 2024, Mar 26, 2021 (3 updates tracked since 2021).

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About Caleb B Cantrell Md NPPES

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

CALEB B CANTRELL MD (NPI 1205413051) is an individual emergency medicine provider in Smithville, Tennessee, licensed in Tennessee (MD.71202) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Dekalb Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205413051

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCALEB B CANTRELLCredential: MD

Location Address520 W MAIN STSmithville, TN 37166

Mailing Address520 W Main StSmithville, TN 37166-1138

Phone(615) 215-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 26, 2021

Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1205413051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · MD.71202✔ Licensed in AL · MD.4566

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

520 W MAIN ST, Smithville, TN 37166

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Caleb B Cantrell 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 ID2062817620

PECOS Enrollment IDI20240717001372

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

123 services122 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

86 services79 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

48 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Dekalb Community Hospital

Acute Care Hospitals · Smithville, TN

OwnershipVoluntary non-profit - Church

CMS Certification Number440148

Location520 W Main StSmithville, TN 37166 · De Kalb County

Emergency services

Saint Thomas River Park Hospital

Acute Care Hospitals · Mcminnville, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440151

Location1559 Sparta StreetMcminnville, TN 37110 · Warren County

Emergency services Birthing friendly

Saint Thomas Highlands Hospital

Acute Care Hospitals · Sparta, TN

OwnershipProprietary

CMS Certification Number440192

Location401 Sewell DrSparta, TN 38583 · White County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37166 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.76

Promoting Interoperability

100

Improvement Activities

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.

MRS. DONNA IRENE LAWSON PTA

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