ANDREA SOPHIE CALDERON MD
NPI 1225598550
Internal Medicine - Infectious Disease in Rapid City, SD

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
640 FLORMANN ST, RAPID CITY, SD 57701(605) 755-3300 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2024, Mar 22, 2019 (2 updates tracked since 2019).

About Andrea Sophie Calderon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA SOPHIE CALDERON MD (NPI 1225598550) is an individual infectious disease provider in Rapid City, South Dakota, licensed in South Dakota (15030) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225598550
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameANDREA SOPHIE CALDERONCredential: MD
Location Address640 FLORMANN STRapid City, SD 57701-4679
Mailing Address640 Flormann StRapid City, SD 57701-4679 · (605) 755-3300
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2019
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1225598550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in SD · 15030
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

640 FLORMANN ST, Rapid City, SD 57701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Sophie Calderon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860828019
PECOS Enrollment IDI20240731001828
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431320
Location61 Charles StreetDeadwood, SD 57732 · Lawrence County
Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Midwife
640 FLORMANN ST, SUITE 400
RAPID CITY, SD 57701
Nurse's Aide
640 FLORMANN ST
RAPID CITY, SD 57701
Clinic/Center (Sleep Disorder Diagnostic)
640 FLORMANN ST, SUITE 145
RAPID CITY, SD 57701
640 FLORMANN ST
RAPID CITY, SD 57701
Durable Medical Equipment & Medical Supplies
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine (Infectious Disease)
640 FLORMANN ST
RAPID CITY, SD 57701
Nurse Practitioner
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine
640 FLORMANN ST
RAPID CITY, SD 57701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Calderon's NPI number?

The NPI number for Andrea Calderon is 1225598550. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Andrea Calderon located?

Andrea Calderon practices at 640 Flormann St, Rapid City, SD 57701. The listed phone number is (605) 755-3300.

What is Andrea Calderon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Andrea Calderon enrolled in Medicare?

Yes. Andrea Calderon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Calderon accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Andrea Calderon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Calderon affiliated with any hospitals?

According to CMS data, Andrea Calderon is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Lead-Deadwood Hospital, Monument Health Sturgis Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Calderon was last updated on July 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.