DR. LUIS MAURICIO CALDERON M.D.
NPI 1427443183
Internal Medicine - Cardiovascular Disease in Washington, DC

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
88.23/100
CMS Quality Rating
110 IRVING ST NW STE 4B1, WASHINGTON, DC 20010(202) 877-5975 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luis Mauricio Calderon M.d. NPPES

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

DR. LUIS MAURICIO CALDERON M.D. (NPI 1427443183) is an individual cardiovascular disease provider in Washington, District Of Columbia, licensed in District Of Columbia (MD046342) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2015).

NPPES Registry Identity

NPI1427443183
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. LUIS MAURICIO CALDERONCredential: M.D.
Location Address110 IRVING ST NW STE 4B1Washington, DC 20010-3017
Mailing Address110 Irving St Nw Ste 4b1Washington, DC 20010-3017 · (202) 877-5975 · Fax (240) 219-9150
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateJanuary 10, 2019
NPI 1427443183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in DC · MD046342
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

110 IRVING ST NW STE 4B1, Washington, DC 20010

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

Dr. Luis Mauricio Calderon 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 ID7618221185
PECOS Enrollment IDI20181120000655
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 5

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.
309 services113 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
160 services26 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.
45 services41 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.
38 services35 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.93
Promoting Interoperability100
Improvement Activities40
Cost60

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier20 claims20 services$18.44 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier22 claims22 services$35.48 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$41.70 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier22 claims638 services$1.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
110 IRVING ST NW STE 4B1
WASHINGTON, DC 20010
Internal Medicine
110 IRVING ST NW STE 4B1
WASHINGTON, DC 20010
Internal Medicine (Interventional Cardiology)
110 IRVING ST NW STE 4B1
WASHINGTON, DC 20010

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 Luis Calderon's NPI number?

The NPI number for Luis Calderon is 1427443183. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Luis Calderon located?

Luis Calderon practices at 110 Irving St NW Ste 4b1, Washington, DC 20010. The listed phone number is (202) 877-5975.

What is Luis Calderon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Luis Calderon enrolled in Medicare?

Yes. Luis 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 Luis Calderon accept?

Health plans from Molina Healthcare list Luis 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.

When was this NPI record last updated?

The NPPES record for Luis Calderon was last updated on January 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.