MANUELA CALVO M.D.
NPI 1659536753
Internal Medicine in Coral Gables, FL

Q: What is Manuela Calvo's NPI number?

The NPI number for Manuela Calvo is 1659536753. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Manuela Calvo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Manuela Calvo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 284-3333(305) 284-5054 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 9, 2017 (2 updates tracked since 2017).

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About Manuela Calvo M.d. NPPES

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

MANUELA CALVO M.D. (NPI 1659536753) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME130275) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1659536753

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMANUELA CALVOCredential: M.D.

Location Address5555 PONCE DE LEON BLVDCoral Gables, FL 33146-2513

Mailing Address5555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · (305) 284-3333 · Fax (305) 284-5054

Phone(305) 284-3333

Fax(305) 284-5054

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 28, 2008

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1659536753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME130275✔ Licensed in NY · 003157

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.

5555 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Manuela Calvo 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 ID4688727498

PECOS Enrollment IDI20170610000198

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 3

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.

127 services90 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.

31 services31 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.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

97.45

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

94%33 patients4/55-star benchmark: 100%

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

10%103 patients

Breast Cancer Screening

67%300 patients3/55-star benchmark: 93%

Cervical Cancer Screening

40%562 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

67%648 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

76%221 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

55%97 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

22%97 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

10%1,720 patients1/55-star benchmark: 100%

e-Prescribing

100%842 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

94%161 patients4/55-star benchmark: 100%

HIV Screening

61%965 patients5/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

56%1,016 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

72%944 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

45%1,256 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 92% · 865 patients

Patients screened: 95% · 865 patients

6%31 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%408 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 178 patients

Patients totalRate: 13% · 178 patients

13%178 patients3/55-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.

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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.

ANDREA PIERRE PA-C

Physician Assistant (Surgical)