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DAVID J CACCAMO MD
NPI 1972575470
Family Medicine in Eagan, MN

Active since February 07, 2006PECOS Enrolled
930 BLUE GENTIAN RD STE 1000, EAGAN, MN 55121(651) 683-2507(651) 340-1093 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Aug 15, 2018, Oct 20, 2016 (3 updates tracked since 2016).

About David J Caccamo Md NPPES

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

DAVID J CACCAMO MD (NPI 1972575470) is an individual family medicine provider in Eagan, Minnesota, licensed in Minnesota (39307) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972575470
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID J CACCAMOCredential: MD
Location Address930 BLUE GENTIAN RD STE 1000Eagan, MN 55121-1675
Mailing Address930 Blue Gentian Rd Ste 1000Eagan, MN 55121-1675 · (651) 683-2507 · Fax (651) 340-1093
Phone(651) 683-2507
Fax(651) 340-1093
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 25, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
✔ NPI 1972575470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 39307
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.
930 BLUE GENTIAN RD STE 1000, Eagan, MN 55121
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Other Identifiers 1

Medicaid577525600MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J Caccamo Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 3

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

PREMISE HEALTH OF MINNESOTA MEDICAL PC
Clinic/Center (Multi-Specialty)
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121
Dakota County (651) 447-4936
PIPE TRADE SERVICES FAMILY HEALTH
Family Medicine
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121
Dakota County (651) 348-8851
DR. TARA SMITH D.C.
Chiropractor
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121
Dakota County (651) 683-2507

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 David Caccamo's NPI number?

The NPI number for David Caccamo is 1972575470. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is David Caccamo located?

David Caccamo practices at 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121. The listed phone number is (651) 683-2507.

What is David Caccamo's specialty?

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

Is David Caccamo enrolled in Medicare?

Yes. David Caccamo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Caccamo was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.