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DR. SUSAN CALDWELL MD
NPI 1295830792
Family Medicine in Dewitt, MI

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
13191 SCHAVEY RD, SUITE 3, DEWITT, MI 48820(517) 669-9109(517) 669-9839 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Caldwell Md NPPES

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

DR. SUSAN CALDWELL MD (NPI 1295830792) is an individual family medicine provider in Dewitt, Michigan, licensed in Michigan (4301067975) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Michigan State University College Of Human Medicine (1996).

NPPES Registry Identity

NPI1295830792
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN CALDWELLCredential: MD
Location Address13191 SCHAVEY RD, SUITE 3Dewitt, MI 48820-9036
Mailing AddressPo Box 13008Lansing, MI 48901-3008 · (517) 364-6253 · Fax (517) 964-6204
Phone(517) 669-9109
Fax(517) 669-9839
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1996
Enumeration DateSeptember 13, 2006
Last NPPES UpdateDecember 31, 2007
✔ NPI 1295830792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301067975
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13191 SCHAVEY RD, Dewitt, MI 48820
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Other Identifiers 5

Medicare PINN17340001ME
Other0801900392MI · Bcbs Individual Pin
Medicaid4125970MI
Medicare PINN16670026MI
Medicare UPINH21743MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Dr. Susan 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 ID7911096813
PECOS Enrollment IDI20071129000577
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 2

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.
39 services28 patients
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.
27 services23 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48820 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
39%252 patients2/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 23 patients
100%24 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%282 patients3/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

DR. BEINAZ MENAGI MD
Family Medicine
13191 SCHAVEY RD, SUITE 3
DEWITT, MI 48820
Clinton County (517) 669-9109
MS. MICHELE LYNNETTE BRANNAN PA
Physician Assistant
13191 SCHAVEY RD, SUTIE 3
DEWITT, MI 48820
Clinton County (517) 669-9109
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Family Medicine
13191 SCHAVEY RD, SUITE 3
DEWITT, MI 48820
Clinton County (517) 669-9109
DR. ANTHONY JOHN HOLOWKO DO
Family Medicine
13191 SCHAVEY RD, SUITE 3
DEWITT, MI 48820
Clinton County (517) 669-9109
DR. PETER TIMOTHY GRAHAM MD
Family Medicine
13191 SCHAVEY RD, SUITE 3
DEWITT, MI 48820
Clinton County (517) 669-9109

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 Susan Caldwell's NPI number?

The NPI number for Susan Caldwell is 1295830792. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Susan Caldwell located?

Susan Caldwell practices at 13191 Schavey Rd Suite 3, Dewitt, MI 48820. The listed phone number is (517) 669-9109.

What is Susan Caldwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Caldwell enrolled in Medicare?

Yes. Susan 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.

What insurance does Susan Caldwell accept?

Health plans from McLaren Health Plan Community and Priority Health list Susan 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 Susan Caldwell affiliated with any hospitals?

According to CMS data, Susan Caldwell is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Susan Caldwell was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.