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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.

KEVIN JOHN CALDWELL M.D.
NPI 1316928104
Family Medicine in Crescent City, CA

Active since November 08, 2005PECOS Enrolled
81.7/100
CMS Quality Rating
1240 MARSHALL ST, CRESCENT CITY, CA 95531(707) 465-5566(707) 465-4990 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin John Caldwell M.d. NPPES

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

KEVIN JOHN CALDWELL M.D. (NPI 1316928104) is an individual family medicine provider in Crescent City, California, licensed in California (G42767) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Curry General Hospital, and is a graduate of Saint Louis University School Of Medicine (1979).

NPPES Registry Identity

NPI1316928104
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN JOHN CALDWELLCredential: M.D.
Location Address1240 MARSHALL STCrescent City, CA 95531-2217
Mailing Address1240 Marshall StCrescent City, CA 95531-2217 · (707) 465-5566 · Fax (707) 465-4990
Phone(707) 465-5566
Fax(707) 465-4990
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1979
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1316928104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G42767
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.
1240 MARSHALL ST, Crescent City, CA 95531
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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

Kevin John 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 ID7719058825
PECOS Enrollment IDI20080617000808
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 10

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.
1,184 services332 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
482 services257 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.
251 services134 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
164 services149 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
87 services87 patients

Hospital Affiliations CMS Care Compare

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

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381322
Location94220 Fourth StreetGold Beach, OR 97444 · Curry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95531 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

81.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.41
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims30 services$6.19 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$46.20 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier12 claims24 services$1.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$119.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims26 services$44.77 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers16 claims91 services$23.29 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 3

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

KEVIN J CALDWELL MD INC
Clinic/Center
1240 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 465-5566
DONNA SUND DO
Family Medicine
1240 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 465-5566
SHELLIE SUE BABICH PA
Physician Assistant
1240 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 465-5566

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 Kevin Caldwell's NPI number?

The NPI number for Kevin Caldwell is 1316928104. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Kevin Caldwell located?

Kevin Caldwell practices at 1240 Marshall St, Crescent City, CA 95531. The listed phone number is (707) 465-5566.

What is Kevin Caldwell's specialty?

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

Is Kevin Caldwell enrolled in Medicare?

Yes. Kevin 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.

Is Kevin Caldwell affiliated with any hospitals?

According to CMS data, Kevin Caldwell is affiliated with Curry General Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Caldwell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.