CALEB MASTERSON D.O.
NPI 1487073649
Otolaryngology in Florence, AL

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
81.7/100
CMS Quality Rating
1949 FLORENCE BLVD, FLORENCE, AL 35630(417) 986-6734(256) 768-9187 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2022, Jul 29, 2019 (2 updates tracked since 2019).

About Caleb Masterson D.o. NPPES

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

CALEB MASTERSON D.O. (NPI 1487073649) is an individual otolaryngology provider in Florence, Alabama, licensed in Alabama (1958) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2014).

NPPES Registry Identity

NPI1487073649
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameCALEB MASTERSONCredential: D.O.
Location Address1949 FLORENCE BLVDFlorence, AL 35630-2727
Mailing Address1949 Florence BlvdFlorence, AL 35630-2729 · (256) 415-8100 · Fax (256) 415-8178
Fax(256) 768-9187
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1487073649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 1958
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 1958 (AL)
1949 FLORENCE BLVD, Florence, AL 35630

Secondary Practice Locations 2

Location 1255 Medical Dr Ste 4Winfield, AL 35594-5005 · Phone (256) 415-8100
Location 21611 S Locust Ave Ste 200ALawrenceburg, TN 38464-4009 · Phone (256) 415-8100

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

Caleb Masterson D.o. 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 ID5193055762
PECOS Enrollment IDI20220225000668
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 23

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,440 services33 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
231 services191 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.
165 services121 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.
128 services92 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
107 services89 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
84 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

81.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%34 patients
Advance Care Plan
100%532 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 83% · 267 patients
Patients screened: 95% · 267 patients
3%33 patients
Provide Patients Electronic Access to Their Health Information
86%2,326 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
80%35 patients1/55-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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
1949 FLORENCE BLVD
FLORENCE, AL 35630
Nurse Practitioner (Family)
1949 FLORENCE BLVD
FLORENCE, AL 35630
Nurse Anesthetist, Certified Registered
1949 FLORENCE BLVD
FLORENCE, AL 35630
Nurse Practitioner (Family)
1949 FLORENCE BLVD
FLORENCE, AL 35630
Clinic/Center (Occupational Medicine)
1949 FLORENCE BLVD
FLORENCE, AL 35630
Clinic/Center (Occupational Medicine)
1949 FLORENCE BLVD
FLORENCE, AL 35630

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 Caleb Masterson's NPI number?

The NPI number for Caleb Masterson is 1487073649. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Caleb Masterson located?

Caleb Masterson practices at 1949 Florence Blvd, Florence, AL 35630. The listed phone number is (417) 986-6734.

What is Caleb Masterson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Caleb Masterson enrolled in Medicare?

Yes. Caleb Masterson 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 Caleb Masterson accept?

Health plans from Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee and UnitedHealthcare list Caleb Masterson 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 Caleb Masterson was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.