Paul E. Caldwell, MD
Sports Medicine (Orthopaedic Surgery) Physician · Richmond, VA
Paul E. Caldwell, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Richmond, Virginia, and NPI 1457304784, issued on May 18, 2006. Check the license (Virginia 0101223871, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Paul E. Caldwell
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- 0101223871 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1501 Maple Ave, Richmond, VA 23226
- Phone
- (804) 285-2300
- Enumerated
- May 18, 2006
- Record last updated
- Aug 15, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (804) 285-8420
- Medicaid ID
- 010155088 VA
- Medicare enrollment
- Enrolled (PECOS I20050623000769); accepts Medicare assignment
- Medical or professional school
- Virginia Commonwealth University, School Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 105 in Virginia → Look up another NPI →
Also registered at 1501 Maple Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- John Barsanti, MDSpecialist1447239405
- William Beach, MDSports Medicine (Orthopaedic Surgery) Physician1205888997
- John Blank, MDOrthopaedic Hand Surgery Physician1790737492
- Amy Brenner, FNPFamily Nurse Practitioner1114277464
- Jessica Delk, NPPediatric Nurse Practitioner1043464936
- Matthew Dobzyniak, MDAdult Reconstructive Orthopaedic Surgery Physician1437102621
Verify Paul E. Caldwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101223871Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
7% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024
267 Medicare Part D claims for 122 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. 65 claims were for opioids.
Most prescribed
- Meloxicam69 claims
- Oxycodone-Acetaminophen42 claims
- Diclofenac Sodium33 claims
- Methylprednisolone27 claims
- Ibuprofen23 claims
- Cyclobenzaprine Hcl21 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 MIPS final score for 2023 (Medicare payment program): 83.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $12,694.40
52 payments; by number, the most common kind was food and beverage; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Bon Secours Medical Group Richmond Specialty Care LLCRichmond, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paul E. Caldwell among 105 sports medicine (orthopaedic surgery) physician records in Virginia
Paul E. Caldwell, MD is one of 105 sports medicine (orthopaedic surgery) physician records with a practice address in Virginia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 46% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1999 · median 2001 among the 81 with a school on file
- Record last updated2019 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in Virginia
There are 105 sports medicine (orthopaedic surgery) physician records in Virginia.
All 105 in Virginia → Every provider in Richmond → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- William Beach, MDRichmond, VA 232261205888997
- Dustin Dyer, D.O.Richmond, VA 232261538474861
- Shannon Wolfe, MDRichmond, VA 232261275586463
- David Nedeff, M.D.Richmond, VA 232351023051604
- John McGee, MDWilliamsburg, VA 231851669453908
- Marion Herring, MDRichmond, VA 232941841399672
- William Nordt, M.D.Richmond, VA 232941780694760
- Kwadwo Owusu-AkyawHenrico, VA 232941043638505
Common questions
What is Paul E. Caldwell, MD's NPI number?
Paul E. Caldwell, MD's National Provider Identifier (NPI) is 1457304784, issued on May 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Paul E. Caldwell, MD located?
The NPPES record lists a practice address at 1501 Maple Ave, Richmond, VA, 23226. Phone: (804) 285-2300. Providers update this record themselves, so call before visiting.
How can I verify Paul E. Caldwell, MD's license?
NPPES lists Virginia license number 0101223871, 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 Paul E. Caldwell, MD prescribe under Medicare Part D?
In 2024, Paul E. Caldwell, MD had 267 Medicare Part D claims for 122 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
What is Paul E. Caldwell, MD's MIPS final score?
The 2023 MIPS final score is 83.7 of 100. 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.