DR. CALEB JOHN FLEMING M.D.
NPI 1497791529
Urology in Muskegon, MI

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
73.38/100
CMS Quality Rating
1301 MERCY DR, MUSKEGON, MI 49444(231) 739-9492(231) 739-8932 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Caleb John Fleming M.d. NPPES

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

DR. CALEB JOHN FLEMING M.D. (NPI 1497791529) is an individual urology provider in Muskegon, Michigan, licensed in Michigan (4301048869) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1984).

NPPES Registry Identity

NPI1497791529
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. CALEB JOHN FLEMINGCredential: M.D.
Location Address1301 MERCY DRMuskegon, MI 49444-1837
Mailing Address1301 Mercy DrMuskegon, MI 49444-1837 · (231) 739-9492 · Fax (231) 739-8932
Fax(231) 739-8932
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1984
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497791529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301048869
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1301 MERCY DR, Muskegon, MI 49444

Other Identifiers 1

Medicare UPINF01767MI

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

Dr. Caleb John Fleming M.d. 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 ID6608879523
PECOS Enrollment IDI20250418001966
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.

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.
327 services167 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
268 services144 patients
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.
179 services111 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.
137 services98 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
85 services70 patients
Injection, garamycin, gentamicin, up to 80 mg J1580
This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.
46 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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.

73.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.82
Promoting Interoperability94
Improvement Activities40
Cost54.46

Reported Quality Measures

Advance Care Plan
0%1,014 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
22%55 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
91%3,329 patients4/55-star benchmark: 100%
e-Prescribing
99%673 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%993 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%1,672 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%3,254 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 14% · 941 patients
Patients screened: 16% · 941 patients
5%21 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%667 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
97%29 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,034 patients
Patients totalRate: 1% · 1,034 patients
1%1,034 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 5

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier80 claims12,380 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers76 claims10,960 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier25 claims5,550 services$5.25 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers14 claims16 services$9.19 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each A4428
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Urology
1301 MERCY DR
MUSKEGON, MI 49444
Physician Assistant
1301 MERCY DR
MUSKEGON, MI 49444
Durable Medical Equipment & Medical Supplies
1301 MERCY DR
MUSKEGON, MI 49444
Physician Assistant
1301 MERCY DR
MUSKEGON, MI 49444
Urology
1301 MERCY DR
MUSKEGON, MI 49444
Urology
1301 MERCY DR
MUSKEGON, MI 49444
Physician Assistant
1301 MERCY DR
MUSKEGON, MI 49444
Physician Assistant
1301 MERCY DR
MUSKEGON, MI 49444

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 Fleming's NPI number?

The NPI number for Caleb Fleming is 1497791529. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Caleb Fleming located?

Caleb Fleming practices at 1301 Mercy Dr, Muskegon, MI 49444. The listed phone number is (231) 739-9492.

What is Caleb Fleming's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Caleb Fleming enrolled in Medicare?

Yes. Caleb Fleming 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 Fleming accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Priority Health list Caleb Fleming 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 Fleming was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.