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DR. DELMY YAMILETH CATON MD
NPI 1811383128
Family Medicine in Madison, AL

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
8121 MADISON BLVD STE 101A, MADISON, AL 35758(256) 325-0041(256) 325-0042 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2021, Nov 6, 2018, Oct 15, 2018 (3 updates tracked since 2018).

About Dr. Delmy Yamileth Caton Md NPPES

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

DR. DELMY YAMILETH CATON MD (NPI 1811383128) is an individual family medicine provider in Madison, Alabama, licensed in Alabama (37421) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1811383128
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DELMY YAMILETH CATONCredential: MD
Location Address8121 MADISON BLVD STE 101AMadison, AL 35758-2082
Mailing Address8121 Madison Blvd Ste 101aMadison, AL 35758-2082 · (256) 325-0041 · Fax (256) 325-0042
Phone(256) 325-0041
Fax(256) 325-0042
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 13, 2015
Last NPPES UpdateJuly 23, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1811383128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 37421
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8121 MADISON BLVD STE 101A, Madison, AL 35758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Delmy Yamileth Caton Md 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 ID2163776576
PECOS Enrollment IDI20181120002566
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 6

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.
190 services71 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
79 services47 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.
53 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 4

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

MS. JULIA MAYNARD CRNP
Nurse Practitioner (Family)
8121 MADISON BLVD STE 101A
MADISON, AL 35758
Madison County (256) 325-0041
LAUREN KRITNER CRNP
Nurse Practitioner (Family)
8121 MADISON BLVD STE 101A
MADISON, AL 35758
Madison County (256) 325-0041
HA BICH CHU M.D.
Family Medicine
8121 MADISON BLVD STE 101A
MADISON, AL 35758
Madison County (256) 325-6499
CATON FAMILY PHYSICIAN CARE PC
Family Medicine
8121 MADISON BLVD STE 101A
MADISON, AL 35758
Madison County (256) 325-0041

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 Delmy Caton's NPI number?

The NPI number for Delmy Caton is 1811383128. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Delmy Caton located?

Delmy Caton practices at 8121 Madison Blvd Ste 101A, Madison, AL 35758. The listed phone number is (256) 325-0041.

What is Delmy Caton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Delmy Caton enrolled in Medicare?

Yes. Delmy Caton 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 Delmy Caton accept?

Health plans from Blue Cross and Blue Shield of Alabama list Delmy Caton 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 Delmy Caton was last updated on July 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.