CRAIG CALDWELL (M.D.) – Internal Medicine Physician, NPI 1801981592
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for CRAIG CALDWELL (M.D.)
97, Martin Luther King Jr Drive, Forsyth, Monroe County, Georgia, 31029, United States
FORSYTH, GA 310291648
Phone: (478) 994-1010
Fax: (478) 994-1080
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)
CMS reports 44 Open Payments records for all available years, with a total value of $839.
Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Lilly USA, LLC ($181).
Total Amount
$839
General + Research + Ownership
Payments
44
Total payment records
General Amount
$839
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $181 |
| PFIZER INC. | $97 |
| AstraZeneca Pharmaceuticals LP | $94 |
| Novo Nordisk Inc | $81 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $48 |
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: 2008-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080714000196 | I | Internal Medicine | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,140 | 11 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 236 | 29 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 212 | 146 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 205 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 175 | 138 | $0 |
Insurance plans in this area (ZIP 31029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
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