2026 NPPES data Hematology & Oncology Physician NPI 1295701522 M.D.
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KELLY MCCAUL, M.D.

Hematology & Oncology 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
98
Medicare Part D claims · 14 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$114.6K
114 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KELLY MCCAUL, M.D. is a Hematology & Oncology Physician ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 98 claims across 14 beneficiaries — 27% brand-name prescribing . Industry payments of $114.6K across 114 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KELLY MCCAUL, M.D. filed 98 Medicare Part D claims in 2023 across SIOUX FALLS, South Dakota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

KELLY MCCAUL, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

KELLY MCCAUL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/27/2006

NPI 1295701522

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

98 88% vs specialty avg

2023 prescription claims

Specialty avg: 847

Specialty distribution in South Dakota

How Hematology & Oncology Physician compares to other specialties among South Dakota providers

South Dakota providers

Hematology & Oncology Physician share within South Dakota

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

Specialty board-certification context

Estimated specialty board-certified rate — Hematology & Oncology Physician (ABMS / AOA reference)

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

Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology & Oncology 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 MCCAUL, M.D. is a Hematology & Oncology Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295701522. 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 MCCAUL, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 1000 E. 23RD ST., SIOUX FALLS, SD, 57105, with a listed phone of (605) 322-3035. NPI 1295701522 was issued on 02/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCAUL 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 98 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $419K in drug spend, split 27% brand-name and 73% generic by claim count. 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.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

1000 E. 23RD ST.
SIOUX FALLS, SD 57105

Provider Details

NPI 1295701522
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 02/27/2006

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 MCCAUL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$114.6K

Largest payer

Janssen Biotech, 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 · Above average

KELLY MCCAUL, M.D. — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 98 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.

98
Total Claims
$419K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
121
Total Day Supply
3,380
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$409K
Generic Drug Cost
$10K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
2.80

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Jakafi
Ruxolitinib Phosphate
22
Penicillin V Potassium
11

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

Hematology & Oncology Physician Overview

How KELLY MCCAUL, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

KELLY MCCAUL, M.D.'s 98 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in South Dakota

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KELLY MCCAUL, M.D.'s specialty?
KELLY MCCAUL, M.D. specializes in Hematology & Oncology Physician and practices in SIOUX FALLS, South Dakota. Credentials: M.D..
How much does KELLY MCCAUL, M.D. prescribe under Medicare Part D?
In 2023, KELLY MCCAUL, M.D. wrote 98 Medicare Part D claims totaling $419K in drug costs for 14 beneficiaries.
Where is KELLY MCCAUL, M.D. located?
KELLY MCCAUL, M.D. is located at 1000 E. 23RD ST., SIOUX FALLS, SD, 57105. Phone: (605) 322-3035.
What is KELLY MCCAUL, M.D.'s NPI number?
KELLY MCCAUL, M.D.'s National Provider Identifier (NPI) is 1295701522, issued on 02/27/2006.
Does KELLY MCCAUL, M.D. prescribe more brand-name or generic drugs?
KELLY MCCAUL, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $409K in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does KELLY MCCAUL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KELLY MCCAUL, M.D.'s most frequently prescribed drugs include Jakafi, Penicillin V Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELLY MCCAUL, M.D. accept Medicare?
KELLY MCCAUL, M.D. appears in CMS Medicare data with 98 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELLY MCCAUL, M.D.'s credentials?
KELLY MCCAUL, M.D.'s NPI is 1295701522 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