Individual provider Active NPI

Eric Caywood, D.O.

  • Family Medicine Physician
  • Jefferson City, MO
National Provider Identifier
1194722371
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8J96 Issued in MO
Practice address
1500 Southwest Blvd
Suite B
Jefferson City, MO 65109-2432
Phone
(573) 635-6350
Fax
(537) 635-9049
NPI assigned
Jul 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8J96 MO Primary

Addresses

Primary practice location

1500 Southwest Blvd
Suite B
Jefferson City, MO 65109-2432

Mailing address

1500 Southwest Blvd
Suite B
Jefferson City, MO 65109-2432
Phone (573) 635-6350

Other identifiers 1

IdentifierTypeStateIssuer
242727444MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070323000520 MO Practitioner - Family Practice 1355341686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141

Hospital & facility affiliations

  • Capital Region Home Health Home health agency, Jefferson City, MO, CCN 267219
  • Central Missouri Home Health Home health agency, Jefferson City, MO, CCN 267448
  • Phoenix Home Care Home health agency, Jefferson City, MO, CCN 267597
  • Alternative Hospice of Western Missouri, LLC Hospice, Columbia, MO, CCN 261712
  • Hospice Compassus-Central Missouri Hospice, Jefferson City, MO, CCN 261559
  • Central Missouri Hospice Hospice, Jefferson City, MO, CCN 261553
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
  • Stonebridge Oak Tree Nursing home, Jefferson City, MO, CCN 265819

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R8J96MOMDFamily Medicine Physician
R8596MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
Eldercare of Mid-Missouri VIII, Inc. Past Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1500 Southwest Blvd
Ste B
Jefferson Cty, MO 65109
Phone (573) 635-1577

1500 Southwest Blvd
Ste D
Jefferson Cty, MO 65109
Phone (573) 632-5780

1432 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5560

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stonebridge Oak TreeJefferson City, MO, CCN 265819 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1998
Jan 1, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1194722371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHWEST BLVD",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092432",
            "telephone_number": "573-635-6350",
            "fax_number": "537-635-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHWEST BLVD",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092432",
            "telephone_number": "573-635-6350",
            "fax_number": "537-635-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYWOOD",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-04",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8J96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242727444",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.