DR. PAUL E CALDWELL III MD
NPI 1457304784
Orthopaedic Surgery - Sports Medicine in Richmond, VA

Q: What is Paul Caldwell's NPI number?

The NPI number for Paul Caldwell is 1457304784. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Paul Caldwell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Paul Caldwell was last updated on August 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

83.73/100

CMS Quality Rating

1501 MAPLE AVE, NW MOB SUITE 200, RICHMOND, VA 23226(804) 285-2300(804) 285-8420 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Paul E Caldwell Iii Md NPPES

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

DR. PAUL E CALDWELL III MD (NPI 1457304784) is an individual sports medicine provider in Richmond, Virginia, licensed in Virginia (0101223871) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1999).

NPPES Registry Identity

NPI1457304784

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. PAUL E CALDWELL IIICredential: MD

Location Address1501 MAPLE AVE, NW MOB SUITE 200Richmond, VA 23226-2553

Mailing AddressPo Box 71690Richmond, VA 23255-1690 · (804) 285-2300 · Fax (804) 285-8420

Phone(804) 285-2300

Fax(804) 285-8420

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1999

Enumeration DateMay 18, 2006

Last NPPES UpdateAugust 15, 2019

✔ NPI 1457304784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in VA · 0101223871

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedSpecialistTaxonomy 174400000X · License 0101223871 (VA)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 0101223871 (VA)

1501 MAPLE AVE, Richmond, VA 23226

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Other Identifiers 2

Other179012VA · Anthem

Medicaid010155088VA

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. Paul E Caldwell Iii 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 ID9638149461

PECOS Enrollment IDI20050623000769

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 13

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.

386 services223 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

225 services151 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

146 services146 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

113 services46 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

48 services46 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

30 services28 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.

29 services19 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

17 services17 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

16 services16 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

13 services13 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

13 services13 patients

Removal of joint lining from multiple knee joint compartments using an endoscope 29876

This procedure, called a synovectomy, involves using an endoscope, a small camera, to view your knee joint. The surgeon then removes the inflamed joint lining from several areas of your knee. The goal is to reduce pain and improve joint function.

12 services12 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490059

Location5801 Bremo RdRichmond, VA 23226 · Richmond City County

Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490069

Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County

Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490118

Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

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.

83.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

70.96

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

43%500 patients2/55-star benchmark: 93%

Cervical Cancer Screening

16%633 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

12%33 patients

Closing the Referral Loop: Receipt of Specialist Report

1%649 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

37%1,146 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

64%405 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

20%158 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

35%158 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

10%3,489 patients1/55-star benchmark: 100%

e-Prescribing

99%166 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

45%511 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

88%2,000 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

22%1,821 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

1%2,825 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 55% · 1,028 patients

Patients screened: 57% · 1,028 patients

62%63 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%781 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

76%585 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 545 patients

Patients totalRate: 9% · 545 patients

8%545 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier16 claims16 services$104.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. HANS ROBERT TUTEN MD

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

1501 MAPLE AVE, NW MOB SUITE200
RICHMOND, VA 23226

Richmond City (804) 285-2300

ST. MARY'S AMBULATORY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

1501 MAPLE AVE, STE 300
RICHMOND, VA 23226

Richmond City (804) 287-7878

MS. JESSICA BROADBENT DELK NP

Nurse Practitioner (Pediatrics)

1501 MAPLE AVE, SUITE 200
RICHMOND, VA 23226

Richmond City (804) 285-2300

JASON R HULL MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

1501 MAPLE AVE, SUITE 200
RICHMOND, VA 23226

Richmond City (804) 285-2300

MS. STEPHANIE LANE GALLEGOS P.A.-C

Physician Assistant (Medical)

1501 MAPLE AVE, SUITE 200 NW MOB
RICHMOND, VA 23226

Richmond City (804) 285-2300

MRS. AMY VIRGINIA BRENNER FNP

Nurse Practitioner (Family)

1501 MAPLE AVE, STE 301
RICHMOND, VA 23226

Richmond City (804) 288-7246

DR. WALTER N RABHAN MD

Orthopaedic Surgery

1501 MAPLE AVE, NW MOB SUITE 200
RICHMOND, VA 23226

Richmond City (804) 285-2300

DR. WILLIAM R BEACH MD

Orthopaedic Surgery (Sports Medicine)

1501 MAPLE AVE, NW MOB SUITE 200
RICHMOND, VA 23226

Richmond City (804) 285-2300

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 Paul Caldwell's NPI number?

The NPI number for Paul Caldwell is 1457304784. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Paul Caldwell located?

Paul Caldwell practices at 1501 Maple Ave NW Mob Suite 200, Richmond, VA 23226. The listed phone number is (804) 285-2300.

What is Paul Caldwell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Paul Caldwell enrolled in Medicare?

Yes. Paul 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.

Is Paul Caldwell affiliated with any hospitals?

According to CMS data, Paul Caldwell is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Henrico Doctors' Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Caldwell was last updated on August 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.