JOHN ELTON CASWELL M.D. NPI 1336198365

Family Medicine in Gentry, AR

NPI 1336198365 Individual Male Years of Experience 19 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About JOHN CASWELL

John Caswell is a primary care provider established in Gentry, Arkansas and his medical specialization is family medicine with more than 19 years of experience. He graduated from Louisiana State University School Of Medicine In Shreveport in 2003. The NPI number of John Caswell is 1336198365 and was assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number E4143 (AR). The provider is registered as an individual and his NPI record was last updated 8 years ago.

A primary care provider (PCP) like John Elton Caswell M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

John Caswell is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Caswell is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Siloam Springs Regional Hospital.

NPI

1336198365

Provider Name JOHN ELTON CASWELL M.D.
Provider Location Address643 E 3RD ST GENTRY, AR 72734
Provider Mailing Address643 E 3RD ST PO BOX 9 GENTRY, AR 72734
GenderMale
NPI Entity TypeIndividual
Medical School NameLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-08-2006
Last Update Date03-18-2014


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.E4143
License StateAR
Taxonomy DescriptionFamily 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.

Business Address

JOHN ELTON CASWELL M.D.
643 E 3RD ST
GENTRY, AR
ZIP 72734
Phone: (479) 736-2213
Fax: (479) 736-2105

Get Directions


Mailing Address

JOHN ELTON CASWELL M.D.
643 E 3RD ST
PO BOX 9
GENTRY, AR
ZIP 72734
Phone: (479) 736-2213
Fax: (479) 736-2105



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5698713261
PECOS Enrollment IDI20050422001192
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 522Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 296Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 182Automated urinalysis test (HCPCS:81003)
  • 138Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 136Administration of pneumococcal vaccine (HCPCS:G0009)
  • 135Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 124Administration of influenza virus vaccine (HCPCS:G0008)
  • 119Hemoglobin A1C level (HCPCS:83036)
  • 93Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 75X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 52Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 45Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 41Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 16Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 15Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 14Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 13Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Caswell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SILOAM SPRINGS REGIONAL HOSPITAL603 NORTH PROGRESS AVENUE
SILOAM SPRINGS, AR 72761
(479) 524-4141Acute Care Hospitals40001

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5N078MEDICARE PIN (08)AR
I27665MEDICARE UPIN (02)AR
5N078MEDICARE ID-TYPE UNSPECIFIED (04)AR
157772001MEDICAID (05)AR

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861482739 CATHERINE ELAINE CASEY
Individual
Nurse Practitioner (Family)643 E 3RD ST
GENTRY, AR 72734
(479) 736-2213
1245329663 ASHISH MATHUR MD
Individual
Family Medicine643 E 3RD ST
GENTRY, AR 72734
(479) 736-2213
1205224870 JASON R YOUNG CNP
Individual
Nurse Practitioner (Family)643 E 3RD ST
GENTRY, AR 72734
(479) 736-2213

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.