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DR. CARLOS ALBERTO CALISTO-PEREZ M.D.
NPI 1265681050
Internal Medicine in San Juan, PR

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
832 CALLE CARMEN SANABRIA, VILLA PRADES, SAN JUAN, PR 00924(787) 642-2622 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlos Alberto Calisto-perez M.d. NPPES

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

DR. CARLOS ALBERTO CALISTO-PEREZ M.D. (NPI 1265681050) is an individual internal medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (018430) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Mary Lanning Healthcare, and is a graduate of University Central Del Caribe Escuela De Medicina (2006).

NPPES Registry Identity

NPI1265681050
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLOS ALBERTO CALISTO-PEREZCredential: M.D.
Location Address832 CALLE CARMEN SANABRIA, VILLA PRADESSan Juan, PR 00924-2142
Mailing Address832 Calle Carmen Sanabria, Villa PradesSan Juan, PR 00924-2142 · (787) 642-2622
Phone(787) 642-2622
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2006
Enumeration DateSeptember 16, 2008
Last NPPES UpdateApril 26, 2012
✔ NPI 1265681050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 018430
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Alberto Calisto-perez M.d. 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 ID749443638
PECOS Enrollment IDI20180910000584
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carlos Calisto-perez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro Medico Del Turabo Inc
Multi-Specialty
HIMA SAN PABLO CAGUAS, URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 428 clinicians in this Medicare group
NPI 1710107883 (787) 653-3434
Hope Health Psc
Corporate Health
AVE DE DIEGO 150, SAN JUAN HEALTH CENTRE SUITE 708
San Juan, PR 00907
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 17 clinicians in this Medicare group
NPI 1609186212 (787) 338-5422
The Mary Lanning Memorial Hospital Association
Family Medicine
715 N SAINT JOSEPH AVE
Hastings, NE 68901
  • Reassigned Medicare billing, Nebraska enrollment
  • 98 clinicians in this Medicare group
NPI 1356656417 (402) 463-4521

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
199 services98 patients
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.
128 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
94 services90 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280032
Location715 N St Joseph AveHastings, NE 68901 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00924 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.97
Promoting Interoperability100
Improvement Activities40
Cost49.55

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%90 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Carlos Calisto-perez's NPI number?

The NPI number for Carlos Calisto-perez is 1265681050. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Carlos Calisto-perez located?

Carlos Calisto-perez practices at 832 Calle Carmen Sanabria Villa Prades, San Juan, PR 00924. The listed phone number is (787) 642-2622.

What is Carlos Calisto-perez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Calisto-perez enrolled in Medicare?

Yes. Carlos Calisto-perez 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.

Which organizations bill Medicare for Carlos Calisto-perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Calisto-perez reassigns Medicare benefits to 3 organizations: Centro Medico Del Turabo Inc (Caguas, PR), Hope Health Psc (San Juan, PR) and The Mary Lanning Memorial Hospital Association (Hastings, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Calisto-perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carlos Calisto-perez affiliated with any hospitals?

According to CMS data, Carlos Calisto-perez is affiliated with Mary Lanning Healthcare.

When was this NPI record last updated?

The NPPES record for Carlos Calisto-perez was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.