DR. BRIAN L. CALDWELL EDD, RN, AGPCNP-BC
NPI 1639529035
Nurse Practitioner in Buffalo, NY

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
ELM AND CARTON ST, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Feb 1, 2023, Jan 21, 2022 and 1 more (4 updates tracked since 2016).

About Dr. Brian L. Caldwell Edd, Rn, Agpcnp-bc NPPES

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

DR. BRIAN L. CALDWELL EDD, RN, AGPCNP-BC (NPI 1639529035) is an individual nurse practitioner in Buffalo, New York, licensed in New York (307736) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639529035
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. BRIAN L. CALDWELLCredential: EDD, RN, AGPCNP-BC
Location AddressELM AND CARTON STBuffalo, NY 14263
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateMarch 21, 20234 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1639529035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 307736
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 307736 (NY)
ELM AND CARTON ST, Buffalo, NY 14263

Other Identifiers 1

Medicaid30 307736NY

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. Brian L. Caldwell Edd, Rn, Agpcnp-bc 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 ID8426330895
PECOS Enrollment IDI20180611000155
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services60 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brian Caldwell's NPI number?

The NPI number for Brian Caldwell is 1639529035. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Brian Caldwell located?

Brian Caldwell practices at Elm And Carton St, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Brian Caldwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brian Caldwell enrolled in Medicare?

Yes. Brian 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.

When was this NPI record last updated?

The NPPES record for Brian Caldwell was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.