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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSHUA ALEXANDER CALDWELL MD
NPI 1285196188
Urology in Sidney, NE

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
1000 POLE CREEK XING, SIDNEY, NE 69162(308) 254-1091(308) 254-4003 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Aug 15, 2025, Apr 1, 2019 (3 updates tracked since 2019).

About Joshua Alexander Caldwell Md NPPES

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

JOSHUA ALEXANDER CALDWELL MD (NPI 1285196188) is an individual urology provider in Sidney, Nebraska, licensed in Nebraska (34548) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285196188
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSHUA ALEXANDER CALDWELLCredential: MD
Location Address1000 POLE CREEK XINGSidney, NE 69162-2901
Mailing Address1959 Ne Pacific St, Campus Box 356510Seattle, WA 98195-0001 · (206) 685-1982
Phone(308) 254-1091
Fax(308) 254-4003
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1285196188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NE · 34548✔ Licensed in KS · 0449175
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1000 POLE CREEK XING, Sidney, NE 69162
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11959 NE Pacific StSeattle, WA 98195-0001 · Phone (206) 685-1982
Location 22214 Canterbury Dr Ste 308Hays, KS 67601-2385 · Phone (785) 628-6014

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Joshua Alexander Caldwell 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 ID9931531605
PECOS Enrollment IDI20240701003919, I20240703000459
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

4

Medicare enrollment records show Joshua Caldwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cheyenne County Hospital Association Inc
Same address
Critical Access
1000 POLE CREEK CROSSING
Sidney, NE 69162
  • Reassigned Medicare billing, Nebraska enrollment
  • 70 clinicians in this Medicare group
NPI 1487736963 (308) 254-5825
Panhandle Health Service
64 mi
Psychiatry
2 W 42ND ST, SUITE 3200
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Regional West Physicians Clinic
  • 208 clinicians in this Medicare group
NPI 1790866762 (308) 630-1115
Community Hospital Association
138 mi
Emergency Medicine
1301 E H ST
Mc Cook, NE 69001
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1841204500 (Nebraska)
  • 57 clinicians in this Medicare group
NPI 1588771158 (308) 344-2650
Hays Medical Center, Inc.
247 mi
Family
3216 VINE ST STE 20
Hays, KS 67601
  • Reassigned Medicare billing, Kansas enrollment
  • 218 clinicians in this Medicare group
NPI 1538568852 (785) 261-7065

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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 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.
35 services28 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Morrill County Community Hospital

Critical Access Hospitals · Bridgeport, NE
OwnershipGovernment - Local
CMS Certification Number281318
Location1313 S StreetBridgeport, NE 69336 · Morrill County
Emergency services

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Community Hospital

Critical Access Hospitals · Mccook, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number281363
LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69162 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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.

SABRA D PEETZ PA-C
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-5825
SARAH A KRUEGER
Occupational Therapist
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-8088
STACEY MITLEHNER
Physical Therapy Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-5355
EMILY MAHR M.S.ED., CCC-SLP
Speech-Language Pathologist
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-8088
REBECCA VIOLET HUBBARD APRN
Nurse Practitioner (Family)
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-2825
JACOB DEAN HORSTMAN PA
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-5825
SRMC EMS LLC
Ambulance
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-5064
NICOLE LINTON PA-C
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Cheyenne County (308) 254-1091

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 Joshua Caldwell's NPI number?

The NPI number for Joshua Caldwell is 1285196188. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Joshua Caldwell located?

Joshua Caldwell practices at 1000 Pole Creek Xing, Sidney, NE 69162. The listed phone number is (308) 254-1091.

What is Joshua Caldwell's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joshua Caldwell enrolled in Medicare?

Yes. Joshua 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 Joshua Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Caldwell reassigns Medicare benefits to 4 organizations: Cheyenne County Hospital Association Inc (Sidney, NE), Panhandle Health Service (Scottsbluff, NE), Community Hospital Association (Mc Cook, NE) and Hays Medical Center, Inc. (Hays, KS). 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 Joshua Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Caldwell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Kansas, Inc. and 3 other insurers list Joshua 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 Joshua Caldwell affiliated with any hospitals?

According to CMS data, Joshua Caldwell is affiliated with Hays Medical Center, Regional West Medical Center, Morrill County Community Hospital, Sidney Regional Medical Center and Community Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Caldwell was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.