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ALICIA KRAMER CALDWELL M.D.
NPI 1326481763
Pediatrics in Cincinnati, OH

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, MLC 9016, CINCINNATI, OH 45229(513) 803-8092(513) 803-9245 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 22, 2018, Mar 17, 2018, May 16, 2017 and 1 more (4 updates tracked since 2017).

About Alicia Kramer Caldwell M.d. NPPES

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

ALICIA KRAMER CALDWELL M.D. (NPI 1326481763) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.130622) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Wayne State University School Of Medicine (2013).

NPPES Registry Identity

NPI1326481763
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALICIA KRAMER CALDWELLCredential: M.D.
Location Address3333 BURNET AVE, MLC 9016Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Mlc 9016Cincinnati, OH 45229-3026 · (513) 803-8092 · Fax (513) 803-9245
Phone(513) 803-8092
Fax(513) 803-9245
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateOctober 22, 20184 updates tracked since enumeration
✔ NPI 1326481763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.130622
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35130622 (OH)
3333 BURNET AVE, Cincinnati, OH 45229
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Other Names 1

Former Name (1)Alicia Nicole Kramer M.d.

Secondary Practice Location 1

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 558-7581 · Fax (513) 558-4399

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Alicia Kramer 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 ID648402420
PECOS Enrollment IDI20170531000398
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

2

Medicare enrollment records show Alicia Caldwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
University Of Cincinnati Physicians Company, LLC
0.3 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Alicia Caldwell's NPI number?

The NPI number for Alicia Caldwell is 1326481763. It was assigned to this individual provider in the NPPES registry on April 16, 2013. The provider is also known as Alicia Nicole Kramer M.D..

Where is Alicia Caldwell located?

Alicia Caldwell practices at 3333 Burnet Ave Mlc 9016, Cincinnati, OH 45229. The listed phone number is (513) 803-8092.

What is Alicia Caldwell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alicia Caldwell enrolled in Medicare?

Yes. Alicia 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 Alicia Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Caldwell reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Alicia Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Caldwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Alicia 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.

When was this NPI record last updated?

The NPPES record for Alicia Caldwell was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.