2026 NPPES data Urology Physician NPI 1306343223 MD
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KELLY CALDWELL, MD

Urology Physician in HOUSTON, Texas. 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
199
Medicare Part D claims · 98 beneficiaries · Urology Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.6K
53 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KELLY CALDWELL, MD is a Urology Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 199 claims across 98 beneficiaries — 18% brand-name prescribing . Industry payments of $3.6K across 53 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KELLY CALDWELL, MD filed 199 Medicare Part D claims in 2023 across HOUSTON, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KELLY CALDWELL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KELLY CALDWELL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/07/2018

NPI 1306343223

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

199 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

Specialty distribution in Texas

How Urology Physician compares to other specialties among Texas providers

Texas providers

Urology Physician share within Texas

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within Texas

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Urology 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).

KELLY CALDWELL, MD is a Urology Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1306343223. 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.

KELLY CALDWELL, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 915 GESSNER RD STE 720, HOUSTON, TX, 77024, with a listed phone of (713) 830-9100. NPI 1306343223 was issued on 04/07/2018. 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 199 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $21K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 11.1%. 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.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

915 GESSNER RD STE 720
HOUSTON, TX 77024

Provider Details

NPI 1306343223
Specialty Urology Physician
Credentials MD
Gender Female
NPI Issued 04/07/2018

Hospital and facility affiliations

Facilities where KELLY 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.

MEMORIAL HERMANN MEDICAL GROUP
KATY, 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).

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 KELLY CALDWELL, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.6K

Largest payer

Axonics, 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to KELLY CALDWELL, MD. To verify KELLY CALDWELL, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KELLY CALDWELL, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 199 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.

199
Total Claims
$21K
Total Drug Cost
98
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
278
Total Day Supply
5,930
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$16K
Generic Drug Cost
$4K
Opioid Claims
22 (11.1% rate)
Antibiotic Claims
63

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.30
Gender Split
66% female / 34% 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
Tamsulosin Hcl
26
Estradiol
24
Myrbetriq
Mirabegron
22
Tramadol Hcl
17
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
16
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11

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

Urology Physician Overview

How KELLY CALDWELL, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

KELLY CALDWELL, MD's 199 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Texas

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

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

Frequently Asked Questions

What is KELLY CALDWELL, MD's specialty?
KELLY CALDWELL, MD specializes in Urology Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does KELLY CALDWELL, MD prescribe under Medicare Part D?
In 2023, KELLY CALDWELL, MD wrote 199 Medicare Part D claims totaling $21K in drug costs for 98 beneficiaries.
Where is KELLY CALDWELL, MD located?
KELLY CALDWELL, MD is located at 915 GESSNER RD STE 720, HOUSTON, TX, 77024. Phone: (713) 830-9100.
What is KELLY CALDWELL, MD's NPI number?
KELLY CALDWELL, MD's National Provider Identifier (NPI) is 1306343223, issued on 04/07/2018.
Does KELLY CALDWELL, MD prescribe more brand-name or generic drugs?
KELLY CALDWELL, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $16K in brand drug costs.
Does KELLY CALDWELL, MD prescribe opioids?
Yes, KELLY CALDWELL, MD had 22 opioid claims in 2023 with an opioid prescribing rate of 11.1%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does KELLY CALDWELL, MD prescribe most often?
Based on 2023 Medicare Part D data, KELLY CALDWELL, MD's most frequently prescribed drugs include Tamsulosin Hcl, Estradiol, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELLY CALDWELL, MD accept Medicare?
KELLY CALDWELL, MD appears in CMS Medicare data with 199 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELLY CALDWELL, MD's credentials?
KELLY CALDWELL, MD's NPI is 1306343223 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