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2026 NPPES data Family Medicine Physician NPI 1396031282 M.D.
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Carmella Caldwell, M.D.

Family Medicine Physician in Kansas City, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 184 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.1/100
▲ 1 pts above national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Carmella Caldwell, M.D. reported a CMS MIPS final score of 84.1/100 - above the 83.5 national average - and filed 2,083 Medicare Part D claims in 2023.

84.1/100
MIPS score · +1 vs avg
2K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

CMS NPPES provider registry desk

NPI 1396031282 · Family Medicine Physician

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1396031282
  • ENUM-MID 2011
  • TAX-MEGA 148K Family Medicine
  • MIPS-INLINE 84.1/100
  • RX-MID 2,083
  • BOOK-LIGHT 2,881 in Missouri
  • PHOTO-FINISH Roslyn Aduhene-Opoku · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Carmella Caldwell, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

84 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Carmella Caldwell, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carmella Caldwell, M.D. writes more Part D claims than 46% of them and scores higher on MIPS quality than 41% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Carmella Caldwell, M.D., Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 41
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Carmella Caldwell, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Carmella Caldwell, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Carmella Caldwell, M.D.?

Near national average

NPI registry status

Active

Issued 06/20/2011

NPI 1396031282

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

2,083 39% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

84.1/100 0.6 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Missouri

How Family Medicine Physician compares to other specialties among Missouri providers

Missouri providers
Pharmacist4.8%Professional Counselor4.8%Speech-Language Pathologist4.5%Clinical Social Worker4.5%Family Nurse Practitioner4.3%Physical Therapist4%Family Medicine Physician2.6%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Carmella Caldwell, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
84.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%84.1%
MIPS final score (Family Medicine Physician) - 84.1/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

6675 HOLMES RD STE 450
Kansas City, MO 64131
(816) 276-7600

Provider Details

NPI 1396031282
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/20/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.059
Final Score
Measured-score avg: 83.5
84.4904
Quality
54.3968
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Carmella Caldwell, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Baylor College OF Medicine
Houston, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

Carmella Caldwell, M.D. - brand share 11.0%
Family Medicine Physician average

11% brand-name claims vs 87% generic, on 2,083 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,083
Total Claims
$144K
Total Drug Cost
184
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,617
Total Day Supply
133,403
Brand vs Generic
11% brand / 87% generic
Brand Drug Cost
$96K
Generic Drug Cost
$45K
Opioid Claims
80 (3.8% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
1.35
Gender Split
70% female / 30% male
Age Distribution
<65: 48, 65-74: 101, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Carmella Caldwell, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
 162
Atorvastatin Calcium
 141
Gabapentin
 78
Metoprolol Succinate
 70
Lisinopril
 67
Tramadol Hcl
 57
Hydrochlorothiazide
 54
Metformin Hcl
 51
Furosemide
 48
Levothyroxine Sodium
 48

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Family Medicine Physician in MO → All providers in Missouri → Compare specialties →

Family Medicine Physician Overview

How Carmella Caldwell, M.D. fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Carmella Caldwell, M.D.'s 2,083 claims are below the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Caldwell, both outside Missouri so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (84.1 here).

Roslyn Aduhene-Opoku 84.1 TX Anjali Aggarwal 84.1 TX Abbas Al Alawi 84.1 TX Aymer Al-Mutairi 84.1 TX

Same NPPES enumeration year (2011)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Josya-Gony Charles Miami, FL John Earley Washington, NC Deborah Demaree Indianapolis, IN Anna Pazurek Aurora, CO

Nearby Family Medicine Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Caldwell.

One of 2,881 Family Medicine Physician providers enrolled in Missouri, 5 are shown here.

Dr. Mohammad Abbas
DO
Kirksville, MO
Dr. Karam Abdelmasih
MD, AP
Festus, MO
Dr. Afsheen Abdullah Patel
MD
Lees Summit, MO
Dr. Christopher Abercrombie
DO
Arnold, MO
Dr. Avery Abernathy
D.O.
Kansas City, MO

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Carmella Caldwell, M.D.'s specialty? ▼
Carmella Caldwell, M.D. specializes in Family Medicine Physician and practices in Kansas City, Missouri. Credentials: M.D..
How much does Carmella Caldwell, M.D. prescribe under Medicare Part D? ▼
In 2023, Carmella Caldwell, M.D. wrote 2,083 Medicare Part D claims totaling $144K in drug costs for 184 beneficiaries.
What is Carmella Caldwell, M.D.'s Medicare quality score? ▼
Carmella Caldwell, M.D. has a CMS MIPS Final Score of 84.1/100 (Quality: 84.5, Cost: 54.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carmella Caldwell, M.D. located? ▼
Carmella Caldwell, M.D. is located at 6675 HOLMES RD STE 450, Kansas City, MO, 64131. Phone: (816) 276-7600.
What is Carmella Caldwell, M.D.'s NPI number? ▼
Carmella Caldwell, M.D.'s National Provider Identifier (NPI) is 1396031282, issued on 06/20/2011.
Does Carmella Caldwell, M.D. prescribe more brand-name or generic drugs? ▼
Carmella Caldwell, M.D.'s prescribing is 11% brand-name and 87% generic drugs by claim count, with $96K in brand drug costs.
Does Carmella Caldwell, M.D. prescribe opioids? ▼
Yes, Carmella Caldwell, M.D. had 80 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Carmella Caldwell, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Carmella Caldwell, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carmella Caldwell, M.D. accept Medicare? ▼
Carmella Caldwell, M.D. appears in CMS Medicare data with 2,083 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carmella Caldwell, M.D.'s credentials? ▼
Carmella Caldwell, M.D.'s NPI is 1396031282 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.