MRS. KAMMIE MARIE CALDWELL (M.D.) – Internal Medicine Physician, NPI 1780663575
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 INTERNAL MEDICINE in OK
Provider Addresses for MRS. KAMMIE MARIE CALDWELL (M.D.)
2084 S Main St Ste A8
Grove, OK 743445325
Phone: (918) 964-7071
Type: Location
611 W Cherokee St
Wagoner, OK 744674618
Phone: (918) 226-0955
Type: Location
2601 N Aspen Ave Ste 1011
Broken Arrow, OK 740121375
Phone: (918) 994-7962
Type: Location
1202 W CHEROKEE ST STE D
WAGONER, OK 744674629
Phone: (918) 485-2104
Fax: (888) 815-0475
Type: Mailing
2109 S HIGHWAY 69
WAGONER, OK 744679310
Phone: (918) 485-6069
Fax: (888) 815-0475
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($115).
Total Amount
$237
General + Research + Ownership
Payments
7
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $115 |
| Averitas Pharma Inc. | $25 |
| Gilead Sciences, Inc. | $25 |
| Pharmacosmos Therapeutics Inc. | $21 |
| Halozyme Inc | $19 |
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: 2005-01-21
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 |
|---|---|---|---|---|
| I20050121000242 | I | Internal Medicine | OK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 416 | 109 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 214 | 167 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 118 | 31 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 107 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 41 | $0 |
Insurance plans in this area (ZIP 74344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OK | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 34 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK |
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