DR. DOUGLAS PAUL CALDWELL M.D.
NPI 1982682209
Radiology - Diagnostic Radiology in Eden Prairie, MN

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344(612) 573-2200(612) 573-2274 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2022, Jan 31, 2019 (2 updates tracked since 2019).

About Dr. Douglas Paul Caldwell M.d. NPPES

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

DR. DOUGLAS PAUL CALDWELL M.D. (NPI 1982682209) is an individual diagnostic radiology provider in Eden Prairie, Minnesota, licensed in Minnesota (64827) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Lynnwood.

NPPES Registry Identity

NPI1982682209
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DOUGLAS PAUL CALDWELLCredential: M.D.
Location Address7595 ANAGRAM DREden Prairie, MN 55344-7399
Mailing Address7595 Anagram DrEden Prairie, MN 55344-7399 · (612) 573-2200 · Fax (612) 573-2274
Fax(612) 573-2274
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1997
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1982682209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MN · 64827✔ Licensed in WA · MD00042409✔ Licensed in ID · 12348
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7595 ANAGRAM DR, Eden Prairie, MN 55344

Secondary Practice Location 1

Location 119020 33rd Ave W, Suite 210Lynnwood, WA 98036-4746 · Phone (425) 563-1500 · Fax (425) 563-1501

Other Identifiers 5

Other172074WA · L&i Provider Number
Medicaid1982682209ID
Medicaid8361081WA
Other172345WA · L&i Provider Number
Other184435WA · L&i Provider Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Paul 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 ID9537052659
PECOS Enrollment IDI20181217000219, I20220624001768, I20240124004680
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

9

Medicare enrollment records show Douglas Caldwell reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
7595 ANAGRAM DR
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Maine and Minnesota enrollments
Internal Medicine
775 PRAIRIE CENTER DR STE 300
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1699501601 (Minnesota)
  • 3,733 clinicians in this Medicare group
Specialist
3601 MINNESOTA DR STE 200
Bloomington, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 144 clinicians in this Medicare group
Urgent Care
8170 OLD CARRIAGE CT STE 100
Shakopee, MN 55379
  • Reassigned Medicare billing, Minnesota enrollment
  • 320 clinicians in this Medicare group
Family Medicine
1230 E MAIN ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 322 clinicians in this Medicare group
Critical Access
121 DREW AVE SE
Madelia, MN 56062
  • Reassigned Medicare billing, Minnesota enrollment
  • 113 clinicians in this Medicare group
Clinic/Center
210 9TH ST SE
Rochester, MN 55904
  • Reassigned Medicare billing, Minnesota enrollment
  • 379 clinicians in this Medicare group
Critical Access
300 W GOOD SAMARITAN DR
Warren, MN 56762
  • Reassigned Medicare billing, Minnesota enrollment
  • 107 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1301 15TH AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1902824576 (North Dakota)
  • 268 clinicians in this Medicare group

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 21

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
252 services235 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
204 services201 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
188 services186 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
83 services82 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
80 services80 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
73 services61 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Allina Health Faribault Medical Center

Acute Care Hospitals · Faribault, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240071
Location200 State AvenueFaribault, MN 55021 · Rice County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%576 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Acute Care)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 55344

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 Douglas Caldwell's NPI number?

The NPI number for Douglas Caldwell is 1982682209. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Douglas Caldwell located?

Douglas Caldwell practices at 7595 Anagram Dr, Eden Prairie, MN 55344. The listed phone number is (612) 573-2200.

What is Douglas Caldwell's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Caldwell enrolled in Medicare?

Yes. Douglas 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.

Which organizations bill Medicare for Douglas Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Caldwell reassigns Medicare benefits to 9 organizations: Consulting Radiologists, Ltd (Eden Prairie, MN), Allina Health System (Eden Prairie, MN), Noran Neurological Clinic P.A. (Bloomington, MN), St. Francis Regional Medical Center (Shakopee, MN), Mankato Clinic Ltd (Mankato, MN) and 4 more organizations, listed in the Medicare section above. 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 Douglas Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Caldwell accept?

Health plans from Avera Health Plans and Blue Cross Blue Shield of North Dakota list Douglas 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.

Is Douglas Caldwell affiliated with any hospitals?

According to CMS data, Douglas Caldwell is affiliated with St Lukes Hospital, Abbott Northwestern Hospital, Allina Health Faribault Medical Center, St Francis Regional Medical Center and New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Caldwell was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.