Nicholas Manes Caggiano, MD

2 locations · Central Coast Orthopedic Medical Group · David B. Hammer

Hospitals listed: Adventist Health Sierra Vista · Adventist Health Twin Cities · French Hospital Medical Center · Marian Regional Medical Center. That is not proof they admit you there this week.

Licence A148140 · Current

Licensed to practise in California · since 2017 · expires 2026-12-31 · Drexel University College of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

• American Board of Orthopaedic Surgery - Orthopaedic Surgery

4 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Adventist Health Sierra VistaSan Luis Obispo, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 57% would definitely recommend it
  Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.273, Oct 2024 – Sep 2025
• Adventist Health Twin CitiesTempleton, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 3 of 5 · 60% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.41, Oct 2024 – Sep 2025
• French Hospital Medical CenterSan Luis Obispo, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 78% would definitely recommend it
  Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.23, Oct 2024 – Sep 2025
• Marian Regional Medical CenterSanta Maria, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 68% would definitely recommend it
  Overall rating: 3 of 5 starsBetter than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 0.67 (0.37 to 0.96), Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.081, Oct 2024 – Sep 2025

$552,921

Medicare paid this office $552,921 for 1,109 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Procedures Medicare counted

Procedures year by year

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

1,109 Original Medicare patients in 2024. Average age 74 · Under 65 3% · 85 and older 7% · Women 59% · Also on Medicaid 10% · Health risk score 0.86. At or below the middle of the specialty; the typical hand surgery clinician is at 1.08.

Conditions among them: High blood pressure 64% · Coronary heart disease 18% · Diabetes 17% · Depression 17% · Chronic kidney disease 15% · Cancer 14% · Atrial fibrillation 12% · COPD 9% · Heart failure 7% · Stroke 4% · Dementia 2%.

The office billed $1,283,415, Medicare allowed $723,689 and paid $552,921; for 9,303 services of 103 kinds; $242,803 of it was for drugs given in the office and $310,118 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

$22,455 in 2024

Medicaid paid $22,455 for 190 billed services this clinician did in 2024, up to 18 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$71,984

Pharmacies billed $71,984 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 69% of their Part D prescriptions (99 of 144) in 2024. Above the middle of the specialty; the typical hand surgery clinician is at 47%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

137 generic and fewer than 11 brand-name prescriptions · $71,984 in drug cost · 26 antibiotic prescriptions to 20 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

$59 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

6 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

• Agreed to federal review of their records system
• Checks the state prescription-drug database before prescribing
• Did a security review of patient data
• Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
• Reports cases to public health electronically
• Reports to a public-health or clinical registry
• Tracking of clinicians relationship to and responsibility for a patient by reporting MACRA patient relationship codes.
• Exempt from immunization registry reporting
• Exempt from support electronic referral loops by sending health information

NPI

1306133699

Licence

CA A148140California A148140: Current · expires 2026-12-31

Group

Central Coast Orthopedic Medical Group · David B. Hammer

Gender

Male