KEVIN JOHN CALDWELL (M.D.) – Family Medicine Physician, NPI 1316928104

KEVIN JOHN CALDWELL (M.D.) is a healthcare provider. based in Crescent city, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G42767 (CA). The NPI Number for KEVIN JOHN CALDWELL (M.D.) is 1316928104

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN JOHN CALDWELL (M.D.)
NPI
1316928104
Phone
(707) 465-5566
Address
1240 MARSHALL ST
Enumeration Date
8 November 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7074655566
Graduation Year
1979 (47 years ago)
PAC ID
7719058825
Group Practice PAC ID
4284676263
Professional Enrollment ID
I20080617000808
Address ID
CA955312217CR1240XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for KEVIN JOHN CALDWELL (M.D.)

  • 1240, Marshall Street, Crescent City, Del Norte County, California, 95531, United States

    CRESCENT CITY, CA 955312217

    Phone: (707) 465-5566

    Fax: (707) 465-4990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080617000808IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,122341$0
36415Insertion of needle into vein for collection of blood sample453252$0
99213Established patient office or other outpatient visit, 20-29 minutes218137$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit200200$0
81002Urinalysis, manual test175143$0
View full utilization report →

Insurance plans in this area (ZIP 95531)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284676263View full group profile
NameSpecialtyState
Family PracticeCA
Physician AssistantCA

Reviews

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Frequently asked questions

Is there an official ID for KEVIN JOHN CALDWELL (M.D.) in U.S. healthcare records?
The official identifier for KEVIN JOHN CALDWELL (M.D.) is NPI 1316928104.
Would KEVIN JOHN CALDWELL (M.D.) appear as active to a payer?
You can treat KEVIN JOHN CALDWELL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KEVIN JOHN CALDWELL (M.D.)?
KEVIN JOHN CALDWELL (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN JOHN CALDWELL (M.D.)?
Directory geography for KEVIN JOHN CALDWELL (M.D.) centers on Crescent City, California.
Can I trust this NPI listing for KEVIN JOHN CALDWELL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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