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LAUREN CALDWELL
NPI 1477948776
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Austin, TX

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(833) 882-2737 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2022, Aug 16, 2022 (2 updates tracked since 2022).

About Lauren Caldwell NPPES

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

LAUREN CALDWELL (NPI 1477948776) is an individual urogynecology and reconstructive pelvic surgery provider in Austin, Texas, licensed in Texas (S2251) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1477948776
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameLAUREN CALDWELL
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address1601 Trinity StAustin, TX 78712-1765 · (833) 882-2737
Phone(833) 882-2737
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1477948776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in TX · S2251
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License S2251 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1601 TRINITY ST, Austin, TX 78712
Open in Google Maps ↗

Secondary Practice Location 1

Location 1110 Irving St NW, Department of Obstetrics and GynecologyWashington, DC 20010-3017 · Phone (202) 877-8035 · Fax (202) 877-5435

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Lauren Caldwell 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 ID3274917935
PECOS Enrollment IDI20220829003479
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 11

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
138 services106 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.
66 services66 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.
58 services45 patients
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.
53 services49 patients
Insertion of device into abdomen with pressure and urine flow rate study 51797
This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.
28 services28 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Reported Quality Measures

Breast Cancer Screening
50%188 patients3/55-star benchmark: 93%
Cervical Cancer Screening
51%182 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
38%42 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
50%242 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
66%83 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
15%27 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
37%27 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%545 patients4/55-star benchmark: 100%
e-Prescribing
98%348 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
23%188 patients1/55-star benchmark: 100%
HIV Screening
17%235 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%378 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
31%327 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%343 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 81% · 353 patients
78%353 patients
Provide Patients Electronic Access to Their Health Information
88%336 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%86 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 197 patients
Patients totalRate: 6% · 199 patients
6%199 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.

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.

BENJAMIN JAMES EHRENFELD LCSW
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 495-5300
ROBERT FEINSTEIN MD
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
DR. VEENA A PATEL M.D.
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
FAHEEM MAHOMED M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 913-5011
SUE GAIL ECKHARDT MD
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 495-5512
MS. ERIN ELIZABETH LOPEZ PA-C
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Travis County (512) 324-8320
AARON BRAVERMAN LCSW
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
ANNA CAPASSO MD
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737

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 Lauren Caldwell's NPI number?

The NPI number for Lauren Caldwell is 1477948776. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Lauren Caldwell located?

Lauren Caldwell practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (833) 882-2737.

What is Lauren Caldwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Lauren Caldwell enrolled in Medicare?

Yes. Lauren 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 Lauren Caldwell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Lauren 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 Lauren Caldwell affiliated with any hospitals?

According to CMS data, Lauren Caldwell is affiliated with Ascension Seton Medical Center Austin and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Lauren Caldwell was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.