DR. TROY J CALDWELL M.D.
NPI 1992817381
Family Medicine in Lovell, WY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
71.77/100
CMS Quality Rating
1115 LANE 12, LOVELL, WY 82431(307) 548-5201(307) 548-5224 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Troy J Caldwell M.d. NPPES

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

DR. TROY J CALDWELL M.D. (NPI 1992817381) is an individual family medicine provider in Lovell, Wyoming, licensed in Wyoming (5955A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1992817381
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TROY J CALDWELLCredential: M.D.
Location Address1115 LANE 12Lovell, WY 82431-9537
Mailing Address1115 Lane 12Lovell, WY 82431-9537 · (307) 548-5201 · Fax (307) 548-5224
Fax(307) 548-5224
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 16, 2007
NPI 1992817381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WY · 5955A
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.

1115 LANE 12, Lovell, WY 82431

Other Identifiers 4

Other080141766Medicare Railroad
Medicare PINW308066WY
Medicaid113013700WY
Medicare UPING94039

Accepted 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. Troy J 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 ID2365635505
PECOS Enrollment IDI20101020001451
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services32 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
47 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services27 patients
Follow-up nursing facility visit per day, typically 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
25 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

North Big Horn Hospital District

Critical Access Hospitals · Lovell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531309
Location1115 Lane 12Lovell, WY 82431 · Big Horn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82431 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

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.

71.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.3
Promoting Interoperability100
Improvement Activities40
Cost28.62

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers56 claims140 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims15 services$1.16 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims800 services$1.49 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers11 claims22 services$2.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers26 claims26 services$119.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers25 claims56 services$44.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Physician Assistant
1115 LANE 12
LOVELL, WY 82431
Psychiatry & Neurology (Neurology)
1115 LANE 12
LOVELL, WY 82431
General Acute Care Hospital (Rural)
1115 LANE 12
LOVELL, WY 82431
Family Medicine
1115 LANE 12, NORTH BIG HORN HOSPITAL CLINIC
LOVELL, WY 82431
Speech-Language Pathologist
1115 LANE 12
LOVELL, WY 82431
Family Medicine
1115 LANE 12
LOVELL, WY 82431
Clinic/Center (Rural Health)
1115 LANE 12
LOVELL, WY 82431
Nurse Practitioner (Family)
1115 LANE 12
LOVELL, WY 82431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992817381, enumerated as an "individual" on August 31, 2006.

The provider is located at 1115 LANE 12 LOVELL, WY 82431 and the phone number is (307) 548-5201.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: UnitedHealthcare, Railroad Medicare, Medicare and. Please consult your insurance carrier or call the provider to verify.

Troy Caldwell is affiliated with: BILLINGS CLINIC and NORTH BIG HORN HOSPITAL DISTRICT.