2026 NPPES data Legal Medicine NPI 1013029826 M.D.
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KAYA CALDWELL, M.D.

Legal Medicine in ROSWELL, Georgia. 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
6K
Medicare Part D claims · 491 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.5K
168 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KAYA CALDWELL, M.D. is a Legal Medicine ([object Object]) practicing in ROSWELL, Georgia with a Medicare Part D prescribing footprint of 6K claims across 491 beneficiaries — 15% brand-name prescribing . Industry payments of $3.5K across 168 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KAYA CALDWELL, M.D. filed 6,210 Medicare Part D claims in 2023 across ROSWELL, Georgia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KAYA CALDWELL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/31/2006

NPI 1013029826

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

6,210 120% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

Specialty distribution in Georgia

How Legal Medicine compares to other specialties among Georgia providers

Georgia providers

Legal Medicine share within Georgia

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Legal Medicine (ABMS / AOA reference)

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

Est. board-certified rate (Legal Medicine) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Legal Medicine) — 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).

KAYA CALDWELL, M.D. is a Legal Medicine provider practicing in ROSWELL, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1013029826. 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.

KAYA CALDWELL, M.D. appears in the CMS NPPES registry as a Legal Medicine provider holding M.D. credentials at 1380 UPPER HEMBREE ROAD, ROSWELL, GA, 30076, with a listed phone of (770) 442-9016. NPI 1013029826 was issued on 08/31/2006. 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 6,210 prescription claims written by this provider, covering 491 Medicare beneficiaries and totaling roughly $565K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 0.2%. 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.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

1380 UPPER HEMBREE ROAD
ROSWELL, GA 30076

Provider Details

NPI 1013029826
Specialty Legal Medicine
Credentials M.D.
Gender Female
NPI Issued 08/31/2006

Hospital and facility affiliations

Facilities where KAYA 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.

LEGACY HEALTHCARE SERVICES INC
WINDER, GA

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 KAYA CALDWELL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.5K

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

KAYA CALDWELL, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 6,210 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.

6,210
Total Claims
$565K
Total Drug Cost
491
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,050
Total Day Supply
438,778
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$476K
Generic Drug Cost
$88K
Opioid Claims
13 (0.2% rate)
Antibiotic Claims
113

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
0.80
Gender Split
76% female / 24% 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
Levothyroxine Sodium
446
Atorvastatin Calcium
385
Rosuvastatin Calcium
358
Amlodipine Besylate
251
Lisinopril
204
Bupropion Xl
Bupropion Hcl
156
Citalopram Hbr
Citalopram Hydrobromide
155
Trazodone Hcl
149
Losartan Potassium
143
Alprazolam
123

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

Legal Medicine Overview

How KAYA CALDWELL, M.D. fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

KAYA CALDWELL, M.D.'s 6,210 claims are above the specialty average of 2,821.

Nearby Legal Medicine Providers in Georgia

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAYA CALDWELL, M.D.'s specialty?
KAYA CALDWELL, M.D. specializes in Legal Medicine and practices in ROSWELL, Georgia. Credentials: M.D..
How much does KAYA CALDWELL, M.D. prescribe under Medicare Part D?
In 2023, KAYA CALDWELL, M.D. wrote 6,210 Medicare Part D claims totaling $565K in drug costs for 491 beneficiaries.
Where is KAYA CALDWELL, M.D. located?
KAYA CALDWELL, M.D. is located at 1380 UPPER HEMBREE ROAD, ROSWELL, GA, 30076. Phone: (770) 442-9016.
What is KAYA CALDWELL, M.D.'s NPI number?
KAYA CALDWELL, M.D.'s National Provider Identifier (NPI) is 1013029826, issued on 08/31/2006.
Does KAYA CALDWELL, M.D. prescribe more brand-name or generic drugs?
KAYA CALDWELL, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $476K in brand drug costs.
Does KAYA CALDWELL, M.D. prescribe opioids?
Yes, KAYA CALDWELL, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 0.2%.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does KAYA CALDWELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAYA CALDWELL, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAYA CALDWELL, M.D. accept Medicare?
KAYA CALDWELL, M.D. appears in CMS Medicare data with 6,210 Part D claims and 491 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAYA CALDWELL, M.D.'s credentials?
KAYA CALDWELL, M.D.'s NPI is 1013029826 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

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