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Kenneth M Caldwell, MD

Orthopedic Surgery · Lafayette

NPI 1457398224

Medicare standing
1 flag on the record
Listed below.
Plans that list them
3
1 carrier
Offices
2
Since medical school
60 years
University of California, San Francisco School of Medicine, 1966

On the public record

  • Owns East Bay Special Surgery, LLC: Accreditation Lapsed

Offices

2 locations · Bass Medical Group · 292 clinicians in this group

Looking this up.

Hospitals listed: Ou Health University of Oklahoma Medical Center. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Caldwell’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A22558 · Current

Licensed to practise in California · since 1967 · expires 2027-05-31 · University of California San Francisco School of Medicine.

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

Surgery centers they own

  • East Bay Special Surgery, LLCAmbulatory Surgery Center · Oakland, CA3.83% owner since 2006 · accredited by IMQ
    Accreditation Lapsed1 inspection, 1 with deficiencies · last 2015-11-19: Requirements Met
  • The Surgery Center of Alta Bates Summit Medical CenterAmbulatory Surgery Center · Oakland, CAOwner · accredited by JC
    Initial Accreditation4 inspections, 4 with deficiencies · last 2017-07-27: Requirements Met

Hospitals they work in

1 hospital

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

  • O U Medical CenterOklahoma City, OKAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of OU Health, which runs 2 hospitalsHome of Stephenson Cancer Center, a National Cancer Institute designated cancer centrePatients rate it 2 of 5 · 64% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.5 (1.27 to 1.74), Jul 2022 – Jun 2024Worse than the national rate — In-hospital fall-associated fracture rate: 0.49 (0.31 to 0.67) · 10,386 cases, Jul 2022 – Jun 2024Worse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 6.71 (5.19 to 8.24) · 3,400 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative respiratory failure rate: 19.55 (14.53 to 24.57) · 1,302 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy: 6.6 (5.5 to 7.9) · 1,344 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.198, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.349, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.314, Oct 2024 – Sep 2025
See every measure and the patient survey for O U Medical Center

Behind the star rating — Deaths: 0 better, 6 the same, 1 worse of 7 measures. Safety: 3 better, 3 the same, 2 worse of 8 measures. Readmissions: 1 better, 6 the same, 3 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at O U Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.5 (1.27 to 1.74)WorseJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.49 (0.31 to 0.67) · 10,386 casesWorseJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths6.71 (5.19 to 8.24) · 3,400 casesWorseJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths19.55 (14.53 to 24.57) · 1,302 casesWorseJul 2022 – Jun 2024
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.6 (5.5 to 7.9) · 1,344 casesWorseJan 2024 – Dec 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.198BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.349BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.314BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.46 (0.68 to 2.25) · 2,646 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths180.85 (143.45 to 218.26) · 284 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.1 · 151 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths14.2 · 111 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.8 · 261 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 371 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.5 · 441 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 3,857 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.3 (0.11 to 0.49) · 9,924 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.28 (0.79 to 3.77) · 1,346 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.49 to 3.78) · 3,335 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.53 (3.66 to 9.41) · 1,304 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.53 (0.22 to 2.83) · 942 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.51 (0.05 to 0.97) · 9,064 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.7 · 74 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.703No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.055No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.857No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.7 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21 · 403 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-26.2 · 107 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-0.1 · 300 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits36.1 · 415 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.2 · 554 casesNoneJul 2023 – Jun 2025
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.8 (8.5 to 11.4) · 1,344 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 72 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits14.7 · 32 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.1 · 264 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.4 to 16.4) · 680 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 967 casesNo differentJan 2024 – Dec 2024

What patients said (2,734 patients answered, 14% of those asked)

Patient survey stars by topic at O U Medical Center
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness3
Recommend hospital3
Share of patients giving the best answer at O U Medical Center
Room was "always" clean69%
Nurses "always" communicated well72%
Doctors "always" communicated well76%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital64%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms84%

Original Medicare doctor bills

$46,551

Medicare paid this office $46,551 for 86 people.

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

Largest Original Medicare bills
Return visit (30+ min)69$16,311$112
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg18$15,801None
Aspiration and/or injection of fluid from large joint34$4,735$58
New patient visit (45+ min)25$3,612$144
X-ray of knee, 3 views21$1,521$43
See all 6 services
Every Original Medicare service billed
Return visit (30+ min)69$16,311$112
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg18$15,801None
Aspiration and/or injection of fluid from large joint34$4,735$58
New patient visit (45+ min)25$3,612$144
X-ray of knee, 3 views21$1,521$43
Injection, triamcinolone acetonide, not otherwise specified, 10 mg20$71None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Aspiration and/or injection of fluid from large joint93761171129381

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

86 Original Medicare patients in 2024. Average age 79 · Women 54% · Health risk score 0.99. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 60% · Chronic kidney disease 26% · Cancer 20% · Atrial fibrillation 19% · Depression 15% · Coronary heart disease 13%.

The office billed $199,034, Medicare allowed $61,745 and paid $46,551; for 2,160 services of 15 kinds; $19,015 of it was for drugs given in the office and $27,536 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 by year
2024862,160790.99$199,034$46,551
2023792,878780.88$233,085$51,770
20221013,246780.94$300,260$72,253
2021853,223760.87$262,204$72,000
2020842,716760.89$120,801$51,358
20191073,670750.82$125,911$56,307
20181264,872750.92$106,147$48,632
20171611,870740.95$99,482$43,572
20162372,480750.94$334,839$112,442
20152912,974740.97$423,849$142,512
20143093,098740.88$446,605$153,065
20132863,191740.88$483,764$175,560

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.

See the services billed each year

2023: 7 services

Original Medicare services billed in 2023
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg21$25,091None
Return visit (30+ min)62$12,941$113
Aspiration and/or injection of fluid from large joint36$4,769$51
New patient visit (45+ min)19$2,304$121
X-ray of knee, 3 views17$725$40
X-ray of shoulder, minimum of 2 views14$577$36
Injection, triamcinolone acetonide, not otherwise specified, 10 mg12$18None

2022: 8 services

Original Medicare services billed in 2022
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg33$29,240None
Long return visit (40+ min)64$18,893$160
New patient visit (60+ min)39$7,121$183
Aspiration and/or injection of fluid from large joint46$6,023$54
Return visit (30+ min)21$2,696$108
X-ray of knee, 3 views33$1,763$42
X-ray of shoulder, minimum of 2 views11$430$36
Injection, triamcinolone acetonide, not otherwise specified, 10 mg14$25None

2021: 7 services

Original Medicare services billed in 2021
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg29$26,720None
Long return visit (40+ min)55$16,398$167
Aspiration and/or injection of fluid from large joint54$6,371$54
New patient visit (60+ min)25$4,518$181
Return visit (30+ min)22$3,800$115
X-ray of knee, 3 views27$1,597$42
Injection, triamcinolone acetonide, not otherwise specified, 10 mg29$40None

2020: 9 services

Original Medicare services billed in 2020
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg27$23,158None
Short return visit (20+ min)54$5,539$64
Aspiration and/or injection of fluid from large joint49$4,580$60
Return visit (30+ min)32$3,459$91
New patient visit (45+ min)14$1,750$125
X-ray of knee, 3 views29$1,328$38
X-ray of both knees while standing27$1,118$37
X-ray of shoulder, minimum of 2 views13$570$34
Injection, triamcinolone acetonide, not otherwise specified, 10 mg22$100None

2019: 9 services

Original Medicare services billed in 2019
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg18$9,947None
Short return visit (20+ min)65$8,162$63
Return visit (30+ min)60$6,773$92
Aspiration and/or injection of fluid from large joint62$4,929$53
New patient visit (45+ min)31$3,858$124
X-ray of knee, 3 views21$1,081$36
X-ray of both knees while standing17$615$36
X-ray of knee, 4 or more views12$521$37
Injection, triamcinolone acetonide, not otherwise specified, 10 mg37$218None

2018: 7 services

Original Medicare services billed in 2018
Short return visit (20+ min)62$7,164$62
Return visit (30+ min)62$6,846$93
New patient visit (45+ min)38$5,382$142
Aspiration and/or injection of fluid from large joint54$4,819$51
X-ray of knee, 4 or more views26$1,190$36
X-ray of hip, 2-3 views14$566$40
Injection, triamcinolone acetonide, not otherwise specified, 10 mg44$328None

2017: 11 services

Original Medicare services billed in 2017
Short return visit (20+ min)107$9,605$60
New patient visit (45+ min)41$5,182$126
Aspiration and/or injection of fluid from large joint62$4,850$56
Return visit (30+ min)47$4,557$93
X-ray of knee, 3 views39$1,677$34
X-ray of knee, 4 or more views29$1,244$36
X-ray of hip, 2-3 views30$1,208$40
Short return visit17$693$38
X-ray of shoulder, minimum of 2 views17$508$25
Injection, triamcinolone acetonide, not otherwise specified, 10 mg40$142None
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg14$96None

2016: 17 services

Original Medicare services billed in 2016
Replacement of knee joint, both sides of knee20$25,278$1,149
Short return visit (20+ min)202$19,836$53
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg12$7,933None
Aspiration and/or injection of fluid from large joint68$5,279$48
X-ray of knee, 3 views136$5,249$29
Removal of knee cartilage using an endoscope12$5,150$429
New patient visit (30+ min)51$4,161$82
X-ray of both knees while standing95$3,184$31
Aspiration and/or injection of fluid large joint using ultrasound guidance27$2,487$69
Short return visit47$1,961$34
X-ray of hip, 2-3 views44$1,654$32
X-ray of knee, 1-2 views48$1,378$27
X-ray of pelvis, 1-2 views35$953$26
X-ray of shoulder, minimum of 2 views31$940$25
X-ray of both hips, 3-4 views14$566$40
Injection, triamcinolone acetonide, not otherwise specified, 10 mg56$442None
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg36$411None

2015: 18 services

Original Medicare services billed in 2015
Replacement of knee joint, both sides of knee23$27,787$1,158
Short return visit (20+ min)230$24,757$59
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg13$8,473None
New patient visit (30+ min)91$8,149$90
Aspiration and/or injection of fluid from large joint78$7,662$54
X-ray of knee, 3 views159$6,202$30
Removal of both knee cartilages using an endoscope12$4,697$391
X-ray of both knees while standing132$4,148$30
X-ray of pelvis, 1-2 views125$3,532$24
Short return visit48$2,370$38
X-ray of hip on one side of body, 1 view72$2,201$23
X-ray of knee, 1-2 views65$1,848$27
Aspiration and/or injection of fluid large joint using ultrasound guidance16$1,701$74
X-ray of shoulder, minimum of 2 views26$878$27
Aspiration and/or injection of fluid from large joint15$746$41
X-ray of ribs of one side of body, minimum of 2 views14$552$32
Injection, triamcinolone acetonide, not otherwise specified, 10 mg59$552None
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg30$374None

2014: 18 services

Original Medicare services billed in 2014
Short return visit (20+ min)252$27,234$58
Replacement of knee joint, both sides of knee23$26,980$1,173
Replacement of thigh bone and hip joint with prosthesis12$14,391$1,107
Aspiration and/or injection of fluid from large joint119$9,960$54
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg16$7,848None
New patient visit (30+ min)87$7,458$86
X-ray of knee, 3 views155$6,887$32
Removal of both knee cartilages using an endoscope11$5,351$486
Removal of knee cartilage using an endoscope11$4,663$424
X-ray of both knees while standing120$4,218$34
X-ray of pelvis, 1-2 views115$3,519$26
Short return visit63$3,073$37
X-ray of hip on one side of body, 1 view66$2,254$24
Ultrasonic guidance for needle placement25$1,841$66
X-ray of knee, 1-2 views54$1,609$29
X-ray of shoulder, minimum of 2 views37$1,182$30
Injection, triamcinolone acetonide, not otherwise specified, 10 mg87$630None
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg31$286None

2013: 20 services

Original Medicare services billed in 2013
Replacement of knee joint, both sides of knee20$27,634$1,316
Short return visit (20+ min)236$26,927$59
Replacement of thigh bone and hip joint with prosthesis16$17,614$1,101
Aspiration and/or injection of fluid from large joint137$12,590$58
Ultrasonic guidance for needle placement34$7,737$198
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg13$7,075None
Removal of both knee cartilages using an endoscope14$6,858$490
X-ray of knee, 3 views139$6,293$35
New patient visit (30+ min)70$5,964$85
X-ray of both knees while standing112$4,110$35
Short return visit69$3,838$36
X-ray of pelvis, 1-2 views95$3,130$27
X-ray of hip on one side of body, 1 view59$2,374$26
X-ray of knee, 1-2 views56$1,888$29
X-ray of shoulder, minimum of 2 views41$1,490$29
Return visit (30+ min)15$1,432$95
Complete ultrasound scan of joint12$1,213$101
Injection, triamcinolone acetonide, not otherwise specified, 10 mg89$742None
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg49$615None
Aspiration and/or injection of fluid from large joint12$543$42

Drugs they prescribed that Part D paid

$258

Pharmacies billed $258 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 19) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

19 generic and 0 brand-name prescriptions · $258 in drug cost.

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 prescribing by year
202419None0% (0)0%$258
20232413NoneNone$242
202221110% (0)None$625
202125None0% (0)0%$558
20203515NoneNone$600
2019632832% (20)29%$1,534
2018894127% (24)None$1,539
2017714527% (19)None$1,048
2016754528% (21)15%$2,280
20151347128% (37)14%$3,402
2014844424% (20)None$3,461
20137851NoneNone$6,112

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

See the drugs prescribed each year

2021: 1 drug

Part D drugs prescribed in 2021
Celecoxib11$268$24

2019: 1 drug

Part D drugs prescribed in 2019
Voltaren13$713$55

2018: 2 drugs

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen14$146$10
Amoxicillin16$70$4

2017: 1 drug

Part D drugs prescribed in 2017
Amoxicillin14$36$3

2015: 4 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen14$287$21
Nabumetone22$230$10
Oxycodone12$229$19
Azithromycin11$109$10

2014: 1 drug

Part D drugs prescribed in 2014
Doxepin13$1,025$79

2013: 1 drug

Part D drugs prescribed in 2013
Doxepin12$1,308$109

Money from drug and device companies

$33 in 2021

A payment is not proof that care is biased.

Payments by company
Pacira TherapeuticsZilretta$33
2 payments
  • Meals for Zilretta · 2021-08-12 · $12
  • Meals for Zilretta · 2021-06-21 · $20
See all 2 published payments
Every published payment
Pacira TherapeuticsMeals · 2021-08-12Zilretta$12
Pacira TherapeuticsMeals · 2021-06-21Zilretta$20

Professional record

NPI
1457398224
Licence
CA A22558California A22558: Current · expires 2027-05-31
Trained
University of California, San Francisco School of Medicine, 1966 · 60 years ago
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A225581
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
Po Box 1298, Lafayette, CA, 94549
NPI first listed
2006-06-01
NPI last updated
2018-06-16

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 80 Grand Avenue, Oakland, CA, 94612