SETH P CALDWELL PA-C
NPI 1972547008
Physician Assistant in Harrisonburg, VA

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
2006 HEALTH CAMPUS DR, HARRISONBURG, VA 22801(540) 689-5500(757) 431-7116 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seth P Caldwell Pa-c NPPES

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

SETH P CALDWELL PA-C (NPI 1972547008) is an individual physician assistant in Harrisonburg, Virginia, licensed in Virginia (0110002042) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1972547008
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSETH P CALDWELLCredential: PA-C
Location Address2006 HEALTH CAMPUS DRHarrisonburg, VA 22801-8679
Mailing AddressPo Box 1430Harrisonburg, VA 22803-1430 · (540) 689-5500 · Fax (757) 431-7116
Fax(757) 431-7116
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 16, 2006
Last NPPES UpdateApril 30, 2019
NPI 1972547008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110002042
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2006 HEALTH CAMPUS DR, Harrisonburg, VA 22801

Other Identifiers 1

Medicaid010161916VA

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

Seth P Caldwell Pa-c 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 ID3375588692
PECOS Enrollment IDI20050627000769
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 7

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, 20-29 minutes 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.
450 services250 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
381 services172 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
50 services47 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
26 services26 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
21 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22801 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Surgery
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Internal Medicine (Pulmonary Disease)
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Dietitian, Registered
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Physician Assistant
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Surgery
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Surgery
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Surgery
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Surgery (Vascular Surgery)
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801

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 Seth Caldwell's NPI number?

The NPI number for Seth Caldwell is 1972547008. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Seth Caldwell located?

Seth Caldwell practices at 2006 Health Campus Dr, Harrisonburg, VA 22801. The listed phone number is (540) 689-5500.

What is Seth Caldwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Seth Caldwell enrolled in Medicare?

Yes. Seth 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.

Is Seth Caldwell affiliated with any hospitals?

According to CMS data, Seth Caldwell is affiliated with Sentara Rmh Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Caldwell was last updated on April 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.