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DR. FREDDY CALDERA JR. D.O.
NPI 1255594537
Internal Medicine - Gastroenterology in Madison, WI

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
1685 HIGHLAND AVENUE, 4256 MFCB, MADISON, WI 53705(608) 263-1995 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Freddy Caldera Jr. D.o. NPPES

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

DR. FREDDY CALDERA JR. D.O. (NPI 1255594537) is an individual gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (55885) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2004).

NPPES Registry Identity

NPI1255594537
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. FREDDY CALDERA JR.Credential: D.O.
Location Address1685 HIGHLAND AVENUE, 4256 MFCBMadison, WI 53705
Mailing Address1685 Highland Avenue, 4256 MfcbMadison, WI 53705 · (608) 263-1995
Phone(608) 263-1995
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2004
Enumeration DateJuly 7, 2008
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1255594537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WI · 55885✔ Licensed in KY · 03095
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1685 HIGHLAND AVENUE, Madison, WI 53705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Dr. Freddy Caldera Jr. D.o. 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 ID9234317959
PECOS Enrollment IDI20110629000113
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
59 services59 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.
46 services38 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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

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

JAMES THOMAS MACMILLAN LANDEFELD MD
Internal Medicine
1685 HIGHLAND AVENUE, 5158 MEDICAL FOUNDATION CENTENNIAL BUILDING
SHOREWOOD HILLS, WI 53705
Dane County (609) 263-1300

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 Freddy Caldera's NPI number?

The NPI number for Freddy Caldera is 1255594537. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Freddy Caldera located?

Freddy Caldera practices at 1685 Highland Avenue 4256 Mfcb, Madison, WI 53705. The listed phone number is (608) 263-1995.

What is Freddy Caldera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Freddy Caldera enrolled in Medicare?

Yes. Freddy Caldera 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 Freddy Caldera accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Freddy Caldera 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 Freddy Caldera affiliated with any hospitals?

According to CMS data, Freddy Caldera is affiliated with Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Mile Bluff Medical Center.

When was this NPI record last updated?

The NPPES record for Freddy Caldera was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.