Active NPI 1912093238 Individual Practitioner Female Practitioner

Sonya A Caldwell , PA-C

Physician Assistant • Flatwoods, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sonya Caldwell, PA-C is a certified Physician Assistant practicing in Flatwoods, KY. With approximately 38 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1988, Sonya Caldwell delivers high-quality medical care to the local community at 1107 BELLEFONTE RD.

Sonya Caldwell maintains professional affiliations with Premier Therapy And Health Centers Inc, Ashland Hospital Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1107 Bellefonte Rd

Flatwoods, KY 411392503

Telephone 6068340125

Fax 6068340128

Associated Practice Facility / Clinic

🏢 Ashland Hospital Corporation Facility NPI 1205883824

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flatwoods, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Flatwoods, KY (1973 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caldwell (38 Years) 38 Yrs

Flatwoods Specialty Average (23.5 Years) 23.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	266	149	$85.67	$52.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	135	$146.41	$77.67
36415 Insertion of needle into vein for collection of blood sample	89	77	$10.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$366.00	$101.11
G0008 Administration of influenza virus vaccine	39	39	$29.00	$28.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$291.00	$284.32
G0009 Administration of pneumococcal vaccine	14	14	$37.00	$29.62
90480 Admn sarscov2 vacc 1 dose	14	14	$50.00	$39.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	181	$92.05	$53.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	136	$151.38	$78.72
36415 Insertion of needle into vein for collection of blood sample	43	37	$10.00	$8.40
G0008 Administration of influenza virus vaccine	37	37	$29.00	$28.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$344.11	$102.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$291.00	$282.08
90480 Admn sarscov2 vacc 1 dose	12	12	$50.00	$38.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	351	186	$106.15	$54.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	151	$151.82	$79.87
36415 Insertion of needle into vein for collection of blood sample	52	47	$10.00	$2.97
G0008 Administration of influenza virus vaccine	39	39	$28.49	$26.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$312.00	$104.64
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$43.87	$29.86
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$51.00	$20.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	411	208	$112.73	$54.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	156	$158.50	$81.72
99441 Telephone medical discussion with physician, 5-10 minutes	79	60	$38.00	$29.19
36415 Insertion of needle into vein for collection of blood sample	50	48	$10.00	$3.00
G0008 Administration of influenza virus vaccine	38	37	$19.00	$15.62
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$78.00	$55.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$113.35	$29.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$312.00	$106.96
81003 Automated urinalysis test	14	13	$9.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	482	258	$125.29	$42.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	172	$171.04	$65.43
99441 Telephone medical discussion with physician, 5-10 minutes	80	67	$38.00	$21.86
36415 Insertion of needle into vein for collection of blood sample	28	27	$10.00	$2.99
81003 Automated urinalysis test	24	21	$9.00	$2.25
G0008 Administration of influenza virus vaccine	22	22	$19.00	$15.52
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	15	$21.00	$18.32
99442 Telephone medical discussion with physician, 11-20 minutes	15	14	$78.00	$44.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$109.67	$21.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	560	261	$96.04	$42.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	427	250	$149.74	$64.61
36415 Insertion of needle into vein for collection of blood sample	80	73	$10.00	$2.93
G0008 Administration of influenza virus vaccine	75	75	$19.00	$15.31
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	67	67	$21.00	$17.48
G0009 Administration of pneumococcal vaccine	41	41	$37.00	$15.31
81003 Automated urinalysis test	38	32	$9.00	$2.40
90670 Pneumococcal vaccine for injection into muscle	28	28	$387.00	$209.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$47.00	$21.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	508	249	$98.09	$41.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	260	$148.15	$63.95
G0008 Administration of influenza virus vaccine	64	64	$19.00	$18.62
36415 Insertion of needle into vein for collection of blood sample	61	54	$10.00	$2.92
G0009 Administration of pneumococcal vaccine	37	37	$37.00	$18.69
90670 Pneumococcal vaccine for injection into muscle	29	29	$387.00	$195.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	541	278	$95.35	$41.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	254	$149.06	$63.98
G0008 Administration of influenza virus vaccine	106	103	$19.00	$18.62
36415 Insertion of needle into vein for collection of blood sample	65	58	$10.00	$2.92
G0009 Administration of pneumococcal vaccine	35	35	$37.00	$22.90
90670 Pneumococcal vaccine for injection into muscle	28	28	$387.00	$188.38
Q2039 Influenza virus vaccine, not otherwise specified	13	13	$25.00	$22.33
90653 Vaccine for influenza for injection into muscle	12	12	$51.00	$49.22

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA149

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

95001418 (KY)

Hospital & Practice Group Affiliations

Ashland Hospital Corporation

1109 Bellefonte Rd, Flatwoods, KY 411392503

Phone: 6062868086

Ashland Hospital Corporation

1107 Bellefonte Rd, Flatwoods, KY 411392503

Phone: 6068340125

Premier Therapy And Health Centers Inc

2400 13th St, Ashland, KY 411024510

Phone: 6063290910

Ashland Hospital Corporation

1908 N Ky, Sandy Hook, KY 411717172

Phone: 6067389339

Ashland Hospital Corporation

2201 Lexington Ave, Ashland, KY 411012843

Phone: 6064084000

Ashland Hospital Corporation

12100 Princeland Dr, Ashland, KY 411027885

Phone: 6069282963

Premier Therapy And Health Centers Inc

209 N 2nd St, Ironton, OH 456381485

Phone: 7405341410

Practice Associates & Co-Workers

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

7 Associated Practitioners

Jennifer Salyers , APRN

Nurse Practitioner - Family

NPI 1083483747

Advanced Practice Registered Nurse

Kathy Summerfield , ARNP

Nurse Practitioner - Family

NPI 1487842704

Advanced Registered Nurse Practitioner

Lisa Davis , APRN

Nurse Practitioner - Family

NPI 1609246966

Advanced Practice Registered Nurse

Tina England , APRN

Nurse Practitioner

NPI 1760728679

Advanced Practice Registered Nurse

Dr. William Williams , DO

Family Medicine

NPI 1770842577

Doctor of Osteopathic Medicine (D.O.)

Dr. Maria Consuelo Domingo , MD

Internal Medicine

NPI 1780894279

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 January 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2016

Registered at 1107 BELLEFONTE RD, FLATWOODS, KY 411392503 (Tel: 6068340125)

📍

Updated Business Mailing Address January 08, 2016

Registered at 2201 LEXINGTON AVE, ASHLAND, KY 411012843 (Tel: 6063275044)

👤

Provider Name / Credentials Updated January 08, 2016

Recorded as SONYA CALDWELL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2016

Physician Assistant (License #PA149 in KY)

🟢

Initial NPI Registration & Enumeration October 05, 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: 1912093238

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 05, 2006

Last Update: January 08, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2201 Lexington Ave

Ashland, KY 411012843

Phone: 6063275044

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.