2026 NPPES data Psychiatry Physician NPI 1285216788 MD
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GRACE CALDWELL, MD

Psychiatry Physician in SIOUX FALLS, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
343
Medicare Part D claims · 41 beneficiaries · Psychiatry Physician avg: 1K
Industry payments
$291.42
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GRACE CALDWELL, MD is a Psychiatry Physician ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 343 claims across 41 beneficiaries . Industry payments of $291.42 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

GRACE CALDWELL, MD filed 343 Medicare Part D claims in 2023 as a Psychiatry Physician in SIOUX FALLS, South Dakota.

343
Part D claims, 2023
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.

Board certification likely (heuristic — not verified)

GRACE CALDWELL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GRACE CALDWELL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/23/2021

NPI 1285216788

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

343 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

Specialty distribution in South Dakota

How Psychiatry Physician compares to other specialties among South Dakota providers

South Dakota providers

Psychiatry Physician share within South Dakota

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within South Dakota

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate

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).

GRACE CALDWELL, MD is a Psychiatry Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1285216788. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GRACE CALDWELL, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 1400 W 22ND ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 322-5737. NPI 1285216788 was issued on 04/23/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CALDWELL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 343 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $29K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1400 W 22ND ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1285216788
Specialty Psychiatry Physician
Credentials MD
Gender Female
NPI Issued 04/23/2021

Hospital and facility affiliations

Facilities where GRACE CALDWELL, MD 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.

AVERA ST LUKES
★★★★☆ 4/5
ABERDEEN, SD
Acute Care Hospitals
CMS CCN: 430014
ST CLOUD HOSPITAL
★★★★☆ 4/5
SAINT CLOUD, MN
Acute Care Hospitals
CMS CCN: 240036

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GRACE CALDWELL, MD. Source: openpaymentsdata.cms.gov.

Total received

$291

Largest payer

Otsuka America Pharmaceutical, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

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

343
Total Claims
$29K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
469
Total Day Supply
13,331
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
66.1 years
Avg HCC Risk Score
1.47
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
32
Quetiapine Fumarate
30
Mirtazapine
29
Duloxetine Hcl
21
Bupropion Xl
Bupropion Hcl
20
Divalproex Sodium Er
Divalproex Sodium
15
Escitalopram Oxalate
14
Buspirone Hcl
12
Trazodone Hcl
12
Paroxetine Er
Paroxetine Hcl
11

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

Psychiatry Physician Overview

How GRACE CALDWELL, MD fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

GRACE CALDWELL, MD's 343 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as CALDWELL.

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GRACE CALDWELL, MD's specialty?
GRACE CALDWELL, MD specializes in Psychiatry Physician and practices in SIOUX FALLS, South Dakota. Credentials: MD.
How much does GRACE CALDWELL, MD prescribe under Medicare Part D?
In 2023, GRACE CALDWELL, MD wrote 343 Medicare Part D claims totaling $29K in drug costs for 41 beneficiaries.
Where is GRACE CALDWELL, MD located?
GRACE CALDWELL, MD is located at 1400 W 22ND ST, SIOUX FALLS, SD, 57105. Phone: (605) 322-5737.
What is GRACE CALDWELL, MD's NPI number?
GRACE CALDWELL, MD's National Provider Identifier (NPI) is 1285216788, issued on 04/23/2021.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does GRACE CALDWELL, MD prescribe most often?
Based on 2023 Medicare Part D data, GRACE CALDWELL, MD's most frequently prescribed drugs include Gabapentin, Quetiapine Fumarate, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GRACE CALDWELL, MD accept Medicare?
GRACE CALDWELL, MD appears in CMS Medicare data with 343 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GRACE CALDWELL, MD's credentials?
GRACE CALDWELL, MD's NPI is 1285216788 with credentials MD. 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

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.
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