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BANIA GABRIELA CALERO MD
NPI 1386056307
Family Medicine in Conyers, GA

Active since May 25, 2014PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1301 SIGMAN RD NE STE 230, CONYERS, GA 30012(678) 609-4912(678) 609-4932 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bania Gabriela Calero Md NPPES

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

BANIA GABRIELA CALERO MD (NPI 1386056307) is an individual family medicine provider in Conyers, Georgia, licensed in Georgia (079004) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386056307
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBANIA GABRIELA CALEROCredential: MD
Location Address1301 SIGMAN RD NE STE 230Conyers, GA 30012-3819
Mailing Address1431 N Western Ave Ste 406Chicago, IL 60622-1774 · (312) 633-5841
Phone(678) 609-4912
Fax(678) 609-4932
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 25, 2014
Last NPPES UpdateFebruary 14, 2018
✔ NPI 1386056307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 079004
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1301 SIGMAN RD NE STE 230, Conyers, GA 30012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Bania Gabriela Calero 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 ID1759670581
PECOS Enrollment IDI20180219001209
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 Bania Calero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Professional Services, LLC
19 mi
Nephrology
1855 HUDSON BRIDGE RD
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 565 clinicians in this Medicare group
NPI 1104088905 (770) 801-2500
Piedmont Medical Care Corporation
22 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840
Wellstreet Of Georgia PC
46 mi
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1235411547 (770) 502-2121

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 10

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.

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.
156 services88 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.
63 services49 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
40 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 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.
25 services25 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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…
4%173 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%144 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
31%173 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%241 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
22%215 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
29%95 patients2/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 6

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

MRS. BERNADETTE ALEXIS-DESTIN NP
Nurse Practitioner (Family)
1301 SIGMAN RD NE STE 230
CONYERS, GA 30012
Rockdale County (678) 609-4912
KINZI V SHEWMAKE MD
Family Medicine
1301 SIGMAN RD NE STE 230
CONYERS, GA 30012
Rockdale County (678) 609-4912
BERLY SOJAN FNP
Nurse Practitioner (Family)
1301 SIGMAN RD NE STE 230
CONYERS, GA 30012
Rockdale County (678) 609-4912
SANIYATH RAIMI CHITOU DO
Family Medicine
1301 SIGMAN RD NE STE 230
CONYERS, GA 30012
Rockdale County (678) 609-4912
ADELAIDA LARDUET MAYETA-PEART APRN FNP-C
Nurse Practitioner
1301 SIGMAN RD NE STE 230
CONYERS, GA 30012
Rockdale County (678) 609-4912
DELIA GEORGE MD
Internal Medicine
1301 SIGMAN RD NE STE 230
CONYERS, GA 30012
Rockdale County (678) 609-4912

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 Bania Calero's NPI number?

The NPI number for Bania Calero is 1386056307. It was assigned to this individual provider in the NPPES registry on May 25, 2014.

Where is Bania Calero located?

Bania Calero practices at 1301 Sigman Rd NE Ste 230, Conyers, GA 30012. The listed phone number is (678) 609-4912.

What is Bania Calero's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bania Calero enrolled in Medicare?

Yes. Bania Calero 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 Bania Calero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bania Calero reassigns Medicare benefits to 3 organizations: Piedmont Professional Services, LLC (Stockbridge, GA), Piedmont Medical Care Corporation (Atlanta, GA) and Wellstreet Of Georgia PC (Newnan, GA). 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 Bania Calero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bania Calero accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Bania Calero 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 Bania Calero affiliated with any hospitals?

According to CMS data, Bania Calero is affiliated with Piedmont Newton Hospital and Piedmont Rockdale Hospital.

When was this NPI record last updated?

The NPPES record for Bania Calero was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.