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DR. CONNOR MARCUS CALDWELL OD
NPI 1730726902
Optometrist in San Diego, CA

Active since December 05, 2019PECOS Enrolled
75/100
CMS Quality Rating
5550 CARMEL MOUNTAIN RD STE 206, SAN DIEGO, CA 92130(858) 943-2540(858) 252-2053 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Connor Marcus Caldwell Od NPPES

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

DR. CONNOR MARCUS CALDWELL OD (NPI 1730726902) is an individual optometrist in San Diego, California, licensed in California (34471TLG) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730726902
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CONNOR MARCUS CALDWELLCredential: OD
Location Address5550 CARMEL MOUNTAIN RD STE 206San Diego, CA 92130-4861
Mailing Address5550 Carmel Mountain Rd Ste 206San Diego, CA 92130-4861 · (858) 943-2540 · Fax (858) 252-2053
Phone(858) 943-2540
Fax(858) 252-2053
Sole ProprietorNo
Enumeration DateDecember 5, 2019
✔ NPI 1730726902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 34471TLG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5550 CARMEL MOUNTAIN RD STE 206, San Diego, CA 92130
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connor Marcus Caldwell Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Connor Caldwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Skin And Eye Institute, Inc.
3.5 mi
Dermatology
5550 CARMEL MOUNTAIN ROAD, SUITE 206
San Diego, CA 92130
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1790232015 (858) 943-2540
Grossmont Dermatology Medical Clinic
15 mi
Procedural Dermatology
8860 CENTER DR, STE 300
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1194838441 (619) 462-1670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

DR. SAMANTHA SHWE MESKO MD, MBA
Dermatology
5550 CARMEL MOUNTAIN RD STE 206
SAN DIEGO, CA 92130
San Diego County (209) 981-2383
MICHELLE B. CROSBY M.D., PH.D. INCORPORATED
Ophthalmology
5550 CARMEL MOUNTAIN RD STE 206
SAN DIEGO, CA 92130
San Diego County (858) 943-2540

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 Connor Caldwell's NPI number?

The NPI number for Connor Caldwell is 1730726902. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Connor Caldwell located?

Connor Caldwell practices at 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130. The listed phone number is (858) 943-2540.

What is Connor Caldwell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Connor Caldwell enrolled in Medicare?

Yes. Connor Caldwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Connor Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Caldwell reassigns Medicare benefits to 2 organizations: Coastal Skin And Eye Institute, Inc. (San Diego, CA) and Grossmont Dermatology Medical Clinic (La Mesa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connor Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connor Caldwell accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Connor 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 Connor Caldwell was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.