NPPES file of Aug 9, 2026

Mary Elena Caldwell, D.O.

Physical Medicine & Rehabilitation Physician · Richmond, VA

Mary Elena Caldwell, D.O. is a physical medicine & rehabilitation physician with a practice address in Richmond, Virginia, and NPI 1225396427, issued on Apr 25, 2012. Check the license (Virginia 0102204519, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1225396427
Name
Mary Elena Caldwell
Credential
D.O.
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License number
0102204519 VA
Self-reported in NPPES; status is on the state search
Practice location
1250 E Marshall St, Richmond, VA 23298
Phone
(804) 360-4669
Enumerated
Apr 25, 2012
Record last updated
Jul 21, 2022
Fax
(804) 364-6557
Medicare enrollment
Enrolled (PECOS I20171201001942); accepts Medicare assignment
Medical or professional school
Philadelphia College Of Osteopathic Medicine, 2012
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1250 E Marshall St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joseph Niel AbapoStudent in an Organized Health Care Education/Training Program1578376919
  2. Linda Abbey, M.D.Family Medicine Physician1366528028
  3. Adel Abdallah, MDNeonatal-Perinatal Medicine Physician1386670354
  4. Troy AbernathyPediatrics Physician1508075078
  5. Michel Aboutanos, M.D.Surgery Physician1518040682
  6. Jennifer Accardo, MDPediatrics Physician1386709459

Verify Mary Elena Caldwell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0102204519
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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59% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024

301 Medicare Part D claims for 119 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. 11 claims were for opioids.

  1. Mary Caldwell301
  2. Specialty average727

Most prescribed

  1. Gabapentin67 claims
  2. Baclofen66 claims
  3. Methocarbamol26 claims
  4. Duloxetine Hcl21 claims
  5. Tizanidine Hcl18 claims
  6. Pregabalin15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score64.6
  2. Costout of 100 · 30%56.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $50.90

2 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Mary Caldwell$50.90
  2. Specialty average$1,237.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Mcv Associated PhysiciansHenrico, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mary Elena Caldwell among 365 physical medicine & rehabilitation physician records in Virginia

Mary Elena Caldwell, D.O. is one of 365 physical medicine & rehabilitation physician records with a practice address in Virginia. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 54% of them.

  • NPI issued2012 · 54% of these records are older, 43% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated2012 · median 2009 among the 196 with a school on file
  • Record last updated2022 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in Virginia

There are 365 physical medicine & rehabilitation physician records in Virginia.

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Mark Bushaw, MDRichmond, VA 232981841759164
  2. Rajbir ChaggarRichmond, VA 232981679061642
  3. David Cifu, MDRichmond, VA 232981801831995
  4. Kimberly Haywood, D.ORichmond, VA 232981962791855
  5. Nicholas Hooper, MD, MSRichmond, VA 232981891436242
  6. Elizabeth Huntoon, MDRichmond, VA 232981265436158
  7. Richard Kunz, M.D.Richmond, VA 232981003949751
  8. Russell Lacey, MDRichmond, VA 232981952720146

Common questions

What is Mary Elena Caldwell, D.O.'s NPI number?

Mary Elena Caldwell, D.O.'s National Provider Identifier (NPI) is 1225396427, issued on Apr 25, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Mary Elena Caldwell, D.O. located?

The NPPES record lists a practice address at 1250 E Marshall St, Richmond, VA, 23298. Phone: (804) 360-4669. Providers update this record themselves, so call before visiting.

How can I verify Mary Elena Caldwell, D.O.'s license?

NPPES lists Virginia license number 0102204519, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Mary Elena Caldwell, D.O. prescribe under Medicare Part D?

In 2024, Mary Elena Caldwell, D.O. had 301 Medicare Part D claims for 119 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.

What is Mary Elena Caldwell, D.O.'s MIPS final score?

The 2023 MIPS final score is 76.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.