Marc Caligtan, M.D.
NPI 1316174642 · Physical Medicine & Rehabilitation Physician · Midlothian, VA
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Caligtan, M.D. is a Physical Medicine & Rehabilitation Physician provider in Midlothian, VA (NPI 1316174642).
Provider details
- NPI number
- 1316174642
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- P24010 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
1,976 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 975 | $85 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 183 | $263 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 148 | $122 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 118 | $241 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 108 | $55 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 60 | 31 |
| Gabapentin | 55 | 37 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 48 | 21 |
| Tramadol Hcl | 38 | 20 |
| Oxycodone Hcl | 27 | 17 |
| Pregabalin | 19 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,267 across 9 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
- 2009-06-12
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Marc Caligtan's NPI number?
- Marc Caligtan's National Provider Identifier (NPI) is 1316174642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Caligtan's specialty?
- Marc Caligtan is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Caligtan located?
- Marc Caligtan's practice location on file with NPPES is 14404 Sommerville Ct, Midlothian, VA 23113-6835.
- What is Marc Caligtan's phone number?
- The practice phone number listed in the NPPES registry for Marc Caligtan is (804) 378-1800.
- Does Marc Caligtan accept Medicare?
- Marc Caligtan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Caligtan's NPI active?
- Yes — Marc Caligtan's NPI (1316174642) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.