DR. MATTHEW CALDWELL M.D.
NPI 1669594859
Ophthalmology - Cornea and External Diseases Specialist in San Antonio, TX

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
99.16/100
CMS Quality Rating
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229(210) 340-1212(210) 525-9617 Get Directions Write a Review

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

Record update history: Feb 21, 2023, May 25, 2018 (2 updates tracked since 2018).

About Dr. Matthew Caldwell M.d. NPPES

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

DR. MATTHEW CALDWELL M.D. (NPI 1669594859) is an individual cornea and external diseases specialist in San Antonio, Texas, licensed in Texas (T1655) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical School At San Antonio (2003).

NPPES Registry Identity

NPI1669594859
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameDR. MATTHEW CALDWELLCredential: M.D.
Location Address5430 FREDERICKSBURG RD STE 100San Antonio, TX 78229-3539
Mailing Address1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghcJbsa Lackland, TX 78236-9908 · (210) 292-6225
Fax(210) 525-9617
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2003
Enumeration DateApril 6, 2007
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1669594859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
Licenses Licensed in TX · T1655 Licensed in NC · 2007-00928
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
Also ListedOphthalmologyTaxonomy 207W00000X · License 01061243A (IN), 2007-00928 (NC)
5430 FREDERICKSBURG RD STE 100, San Antonio, TX 78229

Secondary Practice Locations 2

Location 11100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHCJBSA LACKLAND, TX 78236 · Phone (210) 292-6225
Location 23551 Roger Brooke Dr Apt 7Jbsa Ft Sam Houston, TX 78234-4505 · Phone (210) 652-8544

Other Identifiers 2

Medicaid5907083NC
Other145YXNC · Bcbs Provider Number

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. Matthew Caldwell 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 ID5991892465
PECOS Enrollment IDI20220418000709
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 22

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,535 services1,413 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
832 services545 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
429 services378 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
317 services278 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
241 services241 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
238 services224 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

99.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.32
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Ophthalmology
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Nurse Practitioner (Neonatal)
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Optometrist
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Clinic/Center (Ambulatory Surgical)
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Ophthalmology
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Ophthalmology
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229
Optometrist
5430 FREDERICKSBURG RD STE 100
SAN ANTONIO, TX 78229

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 Matthew Caldwell's NPI number?

The NPI number for Matthew Caldwell is 1669594859. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Matthew Caldwell located?

Matthew Caldwell practices at 5430 Fredericksburg Rd Ste 100, San Antonio, TX 78229. The listed phone number is (210) 340-1212.

What is Matthew Caldwell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Matthew Caldwell enrolled in Medicare?

Yes. Matthew 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 Matthew 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 4 other insurers list Matthew 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 Matthew Caldwell was last updated on February 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.