Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SCOTT D CALDWELL MD
NPI 1477511905
Obstetrics & Gynecology in Two Rivers, WI

Active since May 03, 2006PECOS Enrolled
5300 MEMORIAL DR, TWO RIVERS, WI 54241(920) 793-7300 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 12, 2024, Dec 10, 2021 (2 updates tracked since 2021).

About Dr. Scott D Caldwell Md NPPES

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

DR. SCOTT D CALDWELL MD (NPI 1477511905) is an individual obstetrics & gynecology provider in Two Rivers, Wisconsin, licensed in Wisconsin (39873) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Allis, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1477511905
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SCOTT D CALDWELLCredential: MD
Location Address5300 MEMORIAL DRTwo Rivers, WI 54241-3923
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993
Enumeration DateMay 3, 2006
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1477511905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 39873
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.
5300 MEMORIAL DR, Two Rivers, WI 54241

Secondary Practice Location 1

Location 18905 W. Lincoln Ave. Ste 515West Allis, WI 53227 · Phone (414) 328-8541 · Fax (414) 409-1019

Other Identifiers 1

Medicaid32470800WI

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

Dr. Scott D 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 ID8123048857
PECOS Enrollment IDI20110615000486
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

2

Medicare enrollment records show Scott Caldwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 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 54241 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapy Assistant
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Otolaryngology
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Pediatrics
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Optometrist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Surgery
5300 MEMORIAL DR
TWO RIVERS, WI 54241

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 Scott Caldwell's NPI number?

The NPI number for Scott Caldwell is 1477511905. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Scott Caldwell located?

Scott Caldwell practices at 5300 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 793-7300.

What is Scott Caldwell's specialty?

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

Is Scott Caldwell enrolled in Medicare?

Yes. Scott 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 Scott Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Caldwell reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Sheboygan, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). 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 Scott Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Caldwell accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Scott 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 Scott Caldwell was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.