Active NPI 1467680793 Individual Practitioner Male Practitioner

Dr. Kenneth Lee Caldwell , MD

Orthopaedic Surgery • Pasadena, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Caldwell, MD is a certified Orthopaedic Surgery practicing in Pasadena, TX. With approximately 17 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2009, Dr. Caldwell delivers high-quality medical care to the local community at 3919 WOODLAWN AVE STE B.

Dr. Caldwell accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3919 Woodlawn Ave Ste B

Pasadena, TX 775041995

Telephone 2815983638

Fax 8555922529

Associated Practice Facility / Clinic

🏢 Autism Friendly Family, Pllc Facility NPI 1689231540

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Pasadena, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -9.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Pasadena, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caldwell (17 Years) 17 Yrs

Pasadena Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$125.00	$91.79
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$217.00	$79.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$195.00	$114.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$125.00	$93.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$195.00	$115.81
20610 Aspiration and/or injection of fluid from large joint	18	16	$237.00	$71.13
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$217.00	$102.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$195.00	$116.54
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$217.00	$103.43
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$125.00	$94.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	25	$191.09	$77.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$295.21	$110.62
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$284.50	$104.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$100.00	$51.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$152.00	$77.33
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$228.65	$102.75
20610 Aspiration and/or injection of fluid from large joint	23	17	$194.17	$56.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	26	$51.00	$25.88
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$99.00	$51.42
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$198.00	$100.03
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$100.00	$52.13
20610 Aspiration and/or injection of fluid from large joint	24	19	$157.29	$48.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$141.00	$74.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$268.00	$138.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	29	$51.00	$25.75
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$99.00	$51.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	27	$202.00	$105.58
20610 Aspiration and/or injection of fluid from large joint	22	18	$157.86	$44.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$141.00	$73.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$152.00	$77.54
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$100.00	$51.53
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$3772.00	$1263.62

Medical Specialties & State Licenses

CMS Verified: 2024-09-13

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX P8866

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

146768079303 (TX)

Commercial Insurance / Payer ID Tax Id

83-4230855 (TX)

Commercial Insurance / Payer ID Individual Ptan

851963 (TX)

Commercial Insurance / Payer ID Type 2-Group Npi

1114585395 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Lauren Lee

Behavior Analyst

NPI 1932763240

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 29, 2024

Registered at 3919 WOODLAWN AVE STE B, PASADENA, TX 775041995 (Tel: 2815983638)

📍

Updated Practice Location November 20, 2019

Registered at 3801 VISTA RD STE 360, PASADENA, TX 775042161 (Tel: 7133592222)

📍

Updated Business Mailing Address November 20, 2019

Registered at 3636 OLD SPANISH TRL # 341, HOUSTON, TX 770212456 (Tel: 7134012896)

✅

NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2016

Registered at 506 MEDICAL CENTER BLVD, STE. 304, CONROE, TX 773042826 (Tel: 8886246882)

📍

Updated Business Mailing Address March 14, 2016

Registered at 3500 HILLCREST DR, #1, WACO, TX 767083157 (Tel: 8886246882)

👤

Provider Name / Credentials Updated March 14, 2016

Recorded as KENNETH CALDWELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

Orthopaedic Surgery (License #P8866 in TX)

🟢

Initial NPI Registration & Enumeration June 25, 2009

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: 1467680793

Entity Type:

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

Enumeration Date: June 25, 2009

Last Update: September 13, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3636 Old Spanish Trl # 341

Houston, TX 770212456

Phone: 7134012896

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.