DR. CARMELLA DAWN CALDWELL M.D.
NPI 1396031282
Family Medicine in Kansas City, MO

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
6675 HOLMES RD STE 450, KANSAS CITY, MO 64131(816) 276-7600 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carmella Dawn Caldwell M.d. NPPES

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

DR. CARMELLA DAWN CALDWELL M.D. (NPI 1396031282) is an individual family medicine provider in Kansas City, Missouri, licensed in Missouri (2011017846) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396031282
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARMELLA DAWN CALDWELLCredential: M.D.
Location Address6675 HOLMES RD STE 450Kansas City, MO 64131-1173
Mailing Address6675 Holmes Rd Ste 450Kansas City, MO 64131-1173 · (816) 276-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 20, 2011
NPI 1396031282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2011017846
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.

6675 HOLMES RD STE 450, Kansas City, MO 64131

Accepted 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. Carmella Dawn 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 ID3779723580
PECOS Enrollment IDI20140905000141
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

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.
93 services30 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64131 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Student in an Organized Health Care Education/Training Program
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Family Medicine
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Student in an Organized Health Care Education/Training Program
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Family Medicine
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Student in an Organized Health Care Education/Training Program
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Student in an Organized Health Care Education/Training Program
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Student in an Organized Health Care Education/Training Program
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131
Student in an Organized Health Care Education/Training Program
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131

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 Carmella Caldwell's NPI number?

The NPI number for Carmella Caldwell is 1396031282. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Carmella Caldwell located?

Carmella Caldwell practices at 6675 Holmes Rd Ste 450, Kansas City, MO 64131. The listed phone number is (816) 276-7600.

What is Carmella Caldwell's specialty?

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

Is Carmella Caldwell enrolled in Medicare?

Yes. Carmella 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 Carmella Caldwell accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Carmella 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 Carmella Caldwell affiliated with any hospitals?

According to CMS data, Carmella Caldwell is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Carmella Caldwell was last updated on June 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.