Active NPI 1548784945 Individual Practitioner Female Practitioner

Opal Louise Caldwell , FNP

Nurse Practitioner • Morristown, TN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Opal Caldwell, FNP is a certified Nurse Practitioner practicing in Morristown, TN. With approximately 9 years of clinical experience since completing medical education in 2017, Opal Caldwell delivers high-quality medical care to the local community at 705 N HIGH ST.

Opal Caldwell is affiliated with Knoxville Hma Physician Management, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, elastography ultrasound of organ tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

705 N High St

Morristown, TN 378143876

Telephone 4234153310

Fax 4235879898

Associated Practice Facility / Clinic

🏢 Morristown Gastroenterology, P.c Facility NPI 1982758603

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Morristown, TN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +1.1 yrs vs City Avg

City Avg: 7.9 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

22 Specialists

Practicing in Morristown, TN (2343 Statewide)

Telehealth Adoption Rate

13.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caldwell (9 Years) 9 Yrs

Morristown Specialty Average (7.9 Years) 7.9 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	114	79	$182.00	$71.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	71	$110.00	$44.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$414.00	$130.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$270.00	$97.55
76981 Elastography ultrasound of organ tissue	16	16	$257.00	$76.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$270.00	$87.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	92	$182.00	$69.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$414.00	$131.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	81	$110.00	$44.60
91200 Measurement of liver stiffness	15	15	$95.00	$23.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$270.00	$88.78
36415 Insertion of needle into vein for collection of blood sample	12	12	$12.08	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$414.00	$130.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	111	$110.00	$44.31
99213 Established patient office or other outpatient visit, typically 15 minutes	85	77	$182.00	$69.24
36415 Insertion of needle into vein for collection of blood sample	20	20	$8.80	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$270.00	$88.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	113	$182.00	$72.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	107	$110.00	$45.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$414.00	$133.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$270.00	$90.11
36415 Insertion of needle into vein for collection of blood sample	18	14	$8.80	$2.83
91200 Measurement of liver stiffness	14	14	$95.00	$23.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$270.00	$97.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	146	$128.91	$59.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$299.49	$130.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	76	$105.54	$35.51
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$77.22	$46.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$234.38	$86.06
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$63.55	$30.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	316	258	$95.54	$58.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$176.24	$130.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	40	$75.24	$35.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$155.80	$85.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	180	$95.29	$57.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	178	147	$75.14	$34.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$175.00	$127.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$155.00	$81.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	114	$94.66	$57.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$175.43	$128.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$97.50	$85.23

Medical Specialties & State Licenses

CMS Verified: 2020-09-01

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN 22887

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Knoxville Hma Physician Management, Llc

10810 Parkside Dr, Knoxville, TN 379341981

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Siva Maran , MD

Internal Medicine - Gastroenterology

NPI 1619965043

Doctor of Medicine (M.D.)

Dr. Khaled Nour , MD

Internal Medicine - Gastroenterology

NPI 1750329413

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 July 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2017

Registered at 705 N HIGH ST, MORRISTOWN, TN 378143876 (Tel: 4235870860)

📍

Updated Business Mailing Address July 28, 2017

Registered at 705 N HIGH ST, MORRISTOWN, TN 378143876 (Tel: 4235870860)

👤

Provider Name / Credentials Updated July 28, 2017

Recorded as OPAL CALDWELL, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Nurse Practitioner (License #22887 in TN)

🟢

Initial NPI Registration & Enumeration July 28, 2017

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: 1548784945

Entity Type:

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

Enumeration Date: July 28, 2017

Last Update: September 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

705 N High St

Morristown, TN 378143876

Phone: 4234153310

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.