REBECCA CALDWELL MD
NPI 1396768032
Obstetrics & Gynecology in Grand Rapids, MI

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503(616) 291-2160(616) 391-2638 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rebecca Caldwell Md NPPES

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

REBECCA CALDWELL MD (NPI 1396768032) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301079875) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1396768032
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameREBECCA CALDWELLCredential: MD
Location Address330 BARCLAY AVE NE STE 304Grand Rapids, MI 49503-2527
Mailing Address330 Barclay Ave Ne Ste 304Grand Rapids, MI 49503-2527 · (616) 391-2151 · Fax (616) 391-2683
Fax(616) 391-2638
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1396768032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MI · 4301079875✔ Licensed in MN · 48580
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
330 BARCLAY AVE NE STE 304, Grand Rapids, MI 49503

Accepted 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

Rebecca Caldwell 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 ID7416960893
PECOS Enrollment IDI20070913000842
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

3

Medicare enrollment records show Rebecca Caldwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
Internal Medicine
1675 LEAHY ST STE 324B
Muskegon, MI 49442
  • Reassigned Medicare billing, Michigan enrollment
  • 150 clinicians in this Medicare group
Obstetrics & Gynecology
1675 LEAHY ST STE 201A
Muskegon, MI 49442
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group

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 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.93
Promoting Interoperability100
Improvement Activities40
Cost41.91

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.

Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Internal Medicine (Addiction Medicine)
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503

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 Rebecca Caldwell's NPI number?

The NPI number for Rebecca Caldwell is 1396768032. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Rebecca Caldwell located?

Rebecca Caldwell practices at 330 Barclay Ave NE Ste 304, Grand Rapids, MI 49503. The listed phone number is (616) 291-2160.

What is Rebecca Caldwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rebecca Caldwell enrolled in Medicare?

Yes. Rebecca 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 Rebecca Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Caldwell reassigns Medicare benefits to 3 organizations: Spectrum Health Hospitals (Grand Rapids, MI), Mercy Health Partners - Physician Specialist (Muskegon, MI) and Mercy Women's Health Services (Muskegon, MI). 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 Rebecca Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Caldwell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Rebecca 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 Rebecca Caldwell was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.