Matthew Caldwell, MD
NPI 1619236064 · Family Medicine Physician · Athens, AL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Caldwell, MD is a Family Medicine Physician provider in Athens, AL (NPI 1619236064).
Provider details
- NPI number
- 1619236064
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.32665 (AL)
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
2,005 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 | 1,000 | $110 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 242 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 236 | $111 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 196 | $79 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 111 | $12 |
| 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'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 153 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 336 | 113 |
| Atorvastatin Calcium | 305 | 94 |
| Levothyroxine Sodium | 231 | 69 |
| Metformin Hcl | 231 | 78 |
| Gabapentin | 227 | 76 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 223 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,500 across 84 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
- 2012-05-04
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Frequently asked questions
- What is Matthew Caldwell's NPI number?
- Matthew Caldwell's National Provider Identifier (NPI) is 1619236064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Caldwell's specialty?
- Matthew Caldwell is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Caldwell located?
- Matthew Caldwell's practice location on file with NPPES is 22292 US Highway 72, Athens, AL 35613-2604.
- What is Matthew Caldwell's phone number?
- The practice phone number listed in the NPPES registry for Matthew Caldwell is (256) 614-2444.
- Does Matthew Caldwell accept Medicare?
- Matthew Caldwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Caldwell's NPI active?
- Yes — Matthew Caldwell's NPI (1619236064) is active in the NPPES registry as of the last update on 2022-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.