Individual provider Active NPI

Caleb Masterson, D.O.

  • Otolaryngology Physician
  • Florence, AL
National Provider Identifier
1487073649
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1958 Issued in AL
Practice address
1949 Florence Blvd
Florence, AL 35630-2727
Phone
(417) 986-6734
Fax
(256) 768-9187
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 1958 AL
Otolaryngology Physician 207Y00000X 1958 AL Primary

Addresses

Primary practice location

1949 Florence Blvd
Florence, AL 35630-2727

Mailing address

1949 Florence Blvd
Florence, AL 35630-2729
Phone (256) 415-8100

Other practice location 1

255 Medical Dr Ste 4
Winfield, AL 35594-5005
Phone (256) 415-8100

Other practice location 2

1611 S Locust Ave Ste 200A
Lawrenceburg, TN 38464-4009
Phone (256) 415-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190924002966 AL Practitioner - Otolaryngology 5193055762 Reassigns benefits to 1 organization
I20220225000668 TN Practitioner - Otolaryngology 5193055762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Center of Northwest Alabama, LLCGroup PAC ID 1850621418, 4 clinicians

Practice addresses (Care Compare)

1949 Florence Blvd
Florence, AL 35630-2729
Phone (417) 986-6734

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as individual
Quality
49.94
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1958ALMDChiropractor
4533TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Center of Northwest Alabama, LLC Otolaryngology CurrentSince Sep 1, 2019 Accepting new patients
Southern Anesthesia Consultants LLC PastSince Jul 1, 2025 Accepting new patients

Locations

1949 Florence Blvd
Florence, AL 35630
Phone (256) 415-8100

210 Seville St
Florence, AL 35630
Phone (256) 415-8100

255 Medical Dr
#4
Winfield, AL 35594
Phone (205) 487-7800

1213 W Gaines St
Lawrenceburg, TN 38464
Phone (256) 242-8990

1611 S Locust Ave
Ste 200A
Lawrenceburg, TN 38464
Phone (256) 415-8100

Organizations & group practices 2

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 2

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1487073649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302729",
            "telephone_number": "256-415-8100",
            "fax_number": "256-415-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302727",
            "telephone_number": "417-986-6734",
            "fax_number": "256-768-9187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945005",
            "country_code": "US",
            "telephone_number": "256-415-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 S Locust Ave Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384644009",
            "country_code": "US",
            "telephone_number": "256-415-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "CALEB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AL",
            "license": "1958",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.