Stephen Caldwell
NPI 1396814919 · Gastroenterology Physician · Charlottesville, VA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Caldwell is a Gastroenterology Physician provider in Charlottesville, VA (NPI 1396814919).
Provider details
- NPI number
- 1396814919
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 0101037078 (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
19 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
211 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 73 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 55 | $16 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 44 | $112 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $75 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 17 | $161 |
Typical Medicare-allowed amounts for these services range $16–$161 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ursodiol | 87 | 24 |
| Rifaximinbrand: Xifaxan | 31 | — |
| Lactulose | 27 | — |
| Carvedilol | 27 | 12 |
| Azathioprine | 26 | — |
| Spironolactone | 24 | — |
| Prednisone | 22 | — |
| Entecavir | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,947 across 3 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
- 2006-11-07
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Frequently asked questions
- What is Stephen Caldwell's NPI number?
- Stephen Caldwell's National Provider Identifier (NPI) is 1396814919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Caldwell's specialty?
- Stephen Caldwell is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Caldwell located?
- Stephen Caldwell's practice location on file with NPPES is 1215 Lee St, Charlottesville, VA 22908-0001.
- What is Stephen Caldwell's phone number?
- The practice phone number listed in the NPPES registry for Stephen Caldwell is (434) 243-3090.
- Does Stephen Caldwell accept Medicare?
- Stephen Caldwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Caldwell's NPI active?
- Yes — Stephen Caldwell's NPI (1396814919) is active in the NPPES registry as of the last update on 2021-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.