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BRIAN D CALDWELL PA-C
NPI 1982709192
Physician Assistant - Surgical in Mansfield, OH

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
335 GLESSNER AVE, MANSFIELD, OH 44903(419) 522-0320 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2021, Nov 24, 2015 (2 updates tracked since 2015).

About Brian D Caldwell Pa-c NPPES

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

BRIAN D CALDWELL PA-C (NPI 1982709192) is an individual surgical provider in Mansfield, Ohio, licensed in Ohio (50001773) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1982709192
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRIAN D CALDWELLCredential: PA-C
Location Address335 GLESSNER AVEMansfield, OH 44903-2269
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (419) 522-0320
Phone(419) 522-0320
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2011
Enumeration DateSeptember 13, 2006
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1982709192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50001773
335 GLESSNER AVE, Mansfield, OH 44903
Open in Google Maps ↗

Secondary Practice Location 1

Location 13533 Southern Blvd Ste 5650Kettering, OH 45429-1263 · Phone (937) 294-3611

Other Identifiers 1

Medicaid0075956OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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

Brian D 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 ID1557304045
PECOS Enrollment IDI20050606000843
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

MEREDITH L KROMER-EDWARDS AU.D
Audiologist
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (567) 241-7237
MARY E. ALTON M.D.
Internal Medicine (Cardiovascular Disease)
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (419) 524-8151
JAMES W CATALANO MD
Emergency Medicine
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (330) 493-4443
HUSSEIN ADLY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (419) 522-2734
MRS. LISA VALENTE COX PA-C
Physician Assistant
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (419) 522-2734
DR. JAGPRIT SINGH DHILLON MD
Emergency Medicine
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (216) 924-1151
ANTONIO SORTINO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (567) 241-7000
JACQUELINE SCHABER
Physical Therapy Assistant
335 GLESSNER AVE
MANSFIELD, OH 44903
Richland County (419) 526-8567

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 Brian Caldwell's NPI number?

The NPI number for Brian Caldwell is 1982709192. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Brian Caldwell located?

Brian Caldwell practices at 335 Glessner Ave, Mansfield, OH 44903. The listed phone number is (419) 522-0320.

What is Brian Caldwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brian Caldwell enrolled in Medicare?

Yes. Brian 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.

What insurance does Brian Caldwell accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Brian 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 Brian Caldwell affiliated with any hospitals?

According to CMS data, Brian Caldwell is affiliated with Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Brian Caldwell was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.