Mary Caldwell, D.O.
NPI 1225396427 · Physical Medicine & Rehabilitation Physician · Richmond, VA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Caldwell, D.O. is a Physical Medicine & Rehabilitation Physician provider in Richmond, VA (NPI 1225396427).
Provider details
- NPI number
- 1225396427
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 0102204519 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
742 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 341 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 137 | $63 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 74 | $127 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 62 | $94 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 40 | $75 |
| Injection of Trigger Points, 3 Or More Muscles |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 67 | 23 |
| Baclofen | 66 | 30 |
| Methocarbamol | 26 | 16 |
| Duloxetine Hcl | 21 | 11 |
| Tizanidine Hcl | 18 | — |
| Pregabalin | 15 | — |
| Cyclobenzaprine Hcl | 14 | — |
| Methylprednisolone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$51 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Mary Caldwell's NPI number?
- Mary Caldwell's National Provider Identifier (NPI) is 1225396427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Caldwell's specialty?
- Mary Caldwell is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Caldwell located?
- Mary Caldwell's practice location on file with NPPES is 1250 E Marshall St, Richmond, VA 23298-5051.
- What is Mary Caldwell's phone number?
- The practice phone number listed in the NPPES registry for Mary Caldwell is (804) 360-4669.
- Does Mary Caldwell accept Medicare?
- Mary Caldwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Caldwell's NPI active?
- Yes — Mary Caldwell's NPI (1225396427) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.