DR. WILLIAM MCKAMIE CALDWELL JR. M.D.
NPI 1205850153
Otolaryngology in Kalispell, MT

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
160 HERITAGE WAY STE 201, KALISPELL, MT 59901(406) 752-8330 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2026, Jul 15, 2026, Dec 23, 2025 and 3 more (6 updates tracked since 2018).

About Dr. William Mckamie Caldwell Jr. M.d. NPPES

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

DR. WILLIAM MCKAMIE CALDWELL JR. M.D. (NPI 1205850153) is an individual otolaryngology provider in Kalispell, Montana, licensed in North Carolina (200300949) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1205850153
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WILLIAM MCKAMIE CALDWELL JR.Credential: M.D.
Location Address160 HERITAGE WAY STE 201Kalispell, MT 59901-3105
Mailing Address2038 Dartmouth PlCharlotte, NC 28207-1408 · (704) 996-9376
Sole ProprietorYes
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1998
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 31, 20266 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1205850153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NC · 200300949✔ Licensed in NC · 2003-00949
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 100052 (MT)
160 HERITAGE WAY STE 201, Kalispell, MT 59901

Secondary Practice Location 1

Location 1555 E Cheves StFlorence, SC 29506-2617 · Phone (843) 777-2000

Other Identifiers 6

MedicaidN0094BSC
Other30096786SC · Select Health Of Sc
Other771309SC · Wellcare
OtherP01027350NC · Railroad Medicare
Other135EHNC · Bcbsnc
Medicaid89135EHNC

Accepted 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. William Mckamie Caldwell Jr. 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 ID1355473182
PECOS Enrollment IDI20100714000813, I20240509002417, I20260203002886
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

6

Medicare enrollment records show William Caldwell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
160 HERITAGE WAY
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 10 clinicians in this Medicare group
Family Medicine
436 AIRPORT ROAD, SUITE 20
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • 349 clinicians in this Medicare group
Family Medicine
4446 US HIGHWAY 220 NORTH, SUITE A
Summerfield, NC 27358
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
Rural Health
405 S MAIN ST
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
Primary Care
301 COLLEGE ROW UNIT 9101
Williamsburg, VA 23185
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers13 claims13 services$29.87 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers15 claims90 services$15.53 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims58 services$12.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers22 claims22 services$45.10 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$14.58 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers19 claims19 services$8.46 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 6

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

Specialist/Technologist, Other (Surgical Assistant)
160 HERITAGE WAY STE 201
KALISPELL, MT 59901
Audiologist
160 HERITAGE WAY STE 201
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 201
KALISPELL, MT 59901
Audiologist
160 HERITAGE WAY STE 201
KALISPELL, MT 59901
Audiologist
160 HERITAGE WAY STE 201
KALISPELL, MT 59901
Hearing Instrument Specialist
160 HERITAGE WAY STE 201
KALISPELL, MT 59901

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 William Caldwell's NPI number?

The NPI number for William Caldwell is 1205850153. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is William Caldwell located?

William Caldwell practices at 160 Heritage Way Ste 201, Kalispell, MT 59901. The listed phone number is (406) 752-8330.

What is William Caldwell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is William Caldwell enrolled in Medicare?

Yes. William 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 William Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Caldwell reassigns Medicare benefits to 6 organizations: Glacier Ear Nose And Throat Head And Neck Surgery PC (Kalispell, MT), Fletcher Hospital Inc (Arden, NC), Moses Cone Physician Services, Inc. (Summerfield, NC), Cumberland County Hospital System Inc (Raeford, NC), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC) and 1 more organization, listed in the Medicare section above. 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 William Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Caldwell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 3 other insurers list William 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 William Caldwell affiliated with any hospitals?

According to CMS data, William Caldwell is affiliated with Cape Fear Valley Medical Center, Mcleod Regional Medical Center-Pee Dee and Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Caldwell was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.