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Active NPI 1801981592 Individual Practitioner Male Practitioner

Dr. Craig Caldwell , MD

Internal Medicine • Forsyth, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Caldwell, MD is a certified Internal Medicine practicing in Forsyth, GA. With approximately 49 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1977, Dr. Caldwell delivers high-quality medical care to the local community at 97 MARTIN LUTHER KING JR DR.

Dr. Caldwell is affiliated with Internal Medicine Associates Of Middle Georgia, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

97 Martin Luther King Jr Dr

Forsyth, GA 310291648

Telephone 4789941010
Fax 4789941080
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Forsyth, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
49 Yrs +21.7 yrs vs City Avg
City Avg: 27.3 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Forsyth, GA (4065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caldwell (49 Years) 49 Yrs
Forsyth Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
193 20 $76.00 $58.68
99213 Established patient office or other outpatient visit, typically 15 minutes
191 107 $145.00 $84.47
36415 Insertion of needle into vein for collection of blood sample
175 120 $18.00 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
167 120 $210.00 $119.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
147 109 $38.00 $7.61
83036 Hemoglobin A1C level
98 44 $47.00 $9.52
81003 Automated urinalysis test
95 81 $16.00 $2.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
56 56 $155.00 $120.70
G2211 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
46 38 $20.00 $15.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
40 18 $153.00 $71.77
G0008 Administration of influenza virus vaccine
36 36 $49.00 $30.39
90653 Vaccine for influenza for injection into muscle
34 34 $90.00 $81.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
26 14 $60.00 $13.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
21 21 $375.00 $159.97
99238 Hospital discharge day management, 30 minutes or less
17 16 $140.00 $73.04
93000 Routine ekg using at least 12 leads including interpretation and report
16 15 $92.00 $13.18
G0009 Administration of pneumococcal vaccine
11 11 $49.00 $30.39

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 021658

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00207501B (GA)
Commercial Insurance / Payer ID Wellcare Of Ga
303536 (GA)
Commercial Insurance / Payer ID Railroad Medicare
410113063 (GA)
Commercial Insurance / Payer ID Blue Cross/blue Shield
012230 (GA)

Hospital & Practice Group Affiliations

Internal Medicine Associates Of Middle Georgia, P.c.

97 Martin Luther King Jr Dr, Forsyth, GA 310291648

Phone: 4789941010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Elizabeth Goodwin , APRN, FNP-C

Nurse Practitioner - Family

NPI 1043696172

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Clark Hall , MD

Internal Medicine

NPI 1225733462

Doctor of Medicine (M.D.)

Tammy Barnett , APRN, FNP-C

Nurse Practitioner - Family

NPI 1427160191

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Jeremy Goodwin , MD

Internal Medicine

NPI 1639384407

Doctor of Medicine (M.D.)

Dr. Wesley Ridley , MD

Internal Medicine

NPI 1932590908

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2010

Registered at 97 MARTIN LUTHER KING JR DR, FORSYTH, GA 310291648 (Tel: 4789941010)

📍
Updated Business Mailing Address December 14, 2010

Registered at 97 MARTIN LUTHER KING JR DR, FORSYTH, GA 310291648 (Tel: 4789941010)

👤
Provider Name / Credentials Updated December 14, 2010

Recorded as CRAIG CALDWELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2010

Internal Medicine (License #021658 in GA)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801981592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: December 14, 2010
Sole Proprietor: No

Mailing Address

97 Martin Luther King Jr Dr

Forsyth, GA 310291648

Phone: 4789941010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.