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DR. KIMBERLY CAULWAY MD
NPI 1336178136
Family Medicine in Raleigh, NC

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
11200 GOVERNOR MANLY WAY, SUITE 114, RALEIGH, NC 27614(919) 570-7660(919) 570-7661 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Caulway Md NPPES

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

DR. KIMBERLY CAULWAY MD (NPI 1336178136) is an individual family medicine provider in Raleigh, North Carolina, licensed in North Carolina (200501064) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Temple University School Of Medicine (1998).

NPPES Registry Identity

NPI1336178136
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY CAULWAYCredential: MD
Location Address11200 GOVERNOR MANLY WAY, SUITE 114Raleigh, NC 27614-6830
Mailing Address11200 Governor Manly Way, Suite 114Raleigh, NC 27614-6830 · (919) 570-7660 · Fax (919) 570-7661
Phone(919) 570-7660
Fax(919) 570-7661
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1998
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 28, 2009
✔ NPI 1336178136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200501064
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.
11200 GOVERNOR MANLY WAY, Raleigh, NC 27614
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Other Identifiers 5

Medicare PIN2047274DNC
Medicaid5906495NC
Medicare UPINH47046NC
Medicare PIN2047274CNC
Medicare PIN2047274B

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Kimberly Caulway 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 ID5991721789
PECOS Enrollment IDI20051020000843
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 5

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.
49 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services25 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services20 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.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27614 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

DERRICK BRIDGES ATC,LAT
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Wake County (919) 562-9410
WILLIAM GRANT JR. MD
Family Medicine
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Wake County (919) 747-5270
KAYTLIN HALES ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Wake County (919) 562-9410
SAMUEL A KIBROM PT
Physical Therapist
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Wake County (919) 562-9410
DR. ALISON P GUPTILL M.D.
Family Medicine
11200 GOVERNOR MANLY WAY, SUITE 205
RALEIGH, NC 27614
Wake County (919) 570-7700
TAYLOR BEAVERS LAT, ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Wake County (330) 819-7243
MR. THOMAS ALAN CONE II M.S., LAT, ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, UNIT 309
RALEIGH, NC 27614
Wake County (919) 562-9410
MISS KELSEY LEIGH MANCINI LAT, ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Wake County (919) 562-9410

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 Kimberly Caulway's NPI number?

The NPI number for Kimberly Caulway is 1336178136. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Kimberly Caulway located?

Kimberly Caulway practices at 11200 Governor Manly Way Suite 114, Raleigh, NC 27614. The listed phone number is (919) 570-7660.

What is Kimberly Caulway's specialty?

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

Is Kimberly Caulway enrolled in Medicare?

Yes. Kimberly Caulway 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 Kimberly Caulway accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Kimberly Caulway 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 Kimberly Caulway affiliated with any hospitals?

According to CMS data, Kimberly Caulway is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Caulway was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.