What is James Caldwell's specialty?

James Caldwell (NPI 1811911126) is a Medicare-billing provider whose primary specialty is Emergency Medicine in Pickens, SC.

Where does James Caldwell practice?

James Caldwell practices in Pickens, SC, based on the location reported in the CMS Medicare provider datasets for NPI 1811911126.

How much does Medicare pay James Caldwell?

James Caldwell (NPI 1811911126) received approximately $18K in total Medicare Part B payments, serving 232 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1811911126

James CaldwellM.D.

Emergency MedicinePickens, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

237

Unique beneficiaries

—

Total services

259

Distinct HCPCS

Medicare payment

$16K

Peer benchmark

Total Medicare services vs. 958 Emergency Medicine providers in SC — below median (cohort median 413).

PRESCRIBING · PART D · 2024

Total Rx claims

818

Beneficiaries

—

Total drug cost

$10K

Distinct drugs

Brand share

32.5%

Top prescribed drugs

Hydrocodone/Acetaminophen94 claims

Azithromycin87 claims

Prednisone84 claims

Oxycodone Hcl/Acetaminophen77 claims

Cephalexin51 claims

QUALITY · MIPS · 2024

Final MIPS score

94.7

Quality

89.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.83%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$16

Payment records

By payment type

Food and Beverage$16

Top paying entities

Food and Beverage$16

REFERRAL NETWORK

Where James Caldwell's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CANNON MEMORIAL HOSPITAL	442	1,482
NEWBERRY COUNTY MEMORIAL HOSPITAL	121	340
DAVID, HAMER	79	165
Calvin Snipes Internal Medicine · Easley, SC	60	196
Newberry County Ems Ambulance Service Provider · Newberry, SC	50	120
Yashbir Rana Emergency Medicine · Duncan, SC	47	150
Lisa Harding Internal Medicine · Easley, SC	39	77
SWIGER, BARRY	38	84
FULCHER, JOHN	38	70
Bernard Masters Diagnostic Radiology · Greenville, SC	32	63
Edward Gize Diagnostic Radiology · Greenville, SC	30	51
Geanice Holton Internal Medicine · Easley, SC	30	73

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history