James Caldwell, M.D.
NPI 1811911126 · Family Medicine Physician · Pickens, SC
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Caldwell, M.D. is a Family Medicine Physician provider in Pickens, SC (NPI 1811911126).
Provider details
- NPI number
- 1811911126
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 15727 (SC)
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
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
259 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) |
|---|---|---|
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 150 | $67 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 109 | $112 |
Typical Medicare-allowed amounts for these services range $67–$112 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 94 | 77 |
| Azithromycin | 87 | 80 |
| Prednisone | 84 | 78 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 77 | 69 |
| Cephalexin | 51 | 51 |
| Methylprednisolone | 44 | 43 |
| Promethazine Hcl | 41 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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
- 2006-07-27
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is James Caldwell's NPI number?
- James Caldwell's National Provider Identifier (NPI) is 1811911126, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Caldwell's specialty?
- James Caldwell is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Caldwell located?
- James Caldwell's practice location on file with NPPES is 123 W.g. Acker Drive, Pickens, SC 29671.
- What is James Caldwell's phone number?
- The practice phone number listed in the NPPES registry for James Caldwell is (864) 898-1137.
- Does James Caldwell accept Medicare?
- James Caldwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Caldwell's NPI active?
- Yes — James Caldwell's NPI (1811911126) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.