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GUILLERMO E CALDERON MD
NPI 1669478939
Obstetrics & Gynecology - Gynecology in St Petersburg, FL

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
6700 CROSSWINDS DR N, STE 200A, ST PETERSBURG, FL 33710(727) 344-4651(727) 347-6224 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Guillermo E Calderon Md NPPES

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

GUILLERMO E CALDERON MD (NPI 1669478939) is an individual gynecology provider in St Petersburg, Florida, licensed in Florida (ME77531) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida St Petersburg Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1984).

NPPES Registry Identity

NPI1669478939
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameGUILLERMO E CALDERONCredential: MD
Location Address6700 CROSSWINDS DR N, STE 200ASt Petersburg, FL 33710-5473
Mailing Address6700 Crosswinds Dr N, Ste 200aSt Petersburg, FL 33710-5473 · (727) 344-4651 · Fax (727) 347-6224
Phone(727) 344-4651
Fax(727) 347-6224
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1984
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1669478939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME77531
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6700 CROSSWINDS DR N, St Petersburg, FL 33710
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Other Identifiers 1

Medicaid256112300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Guillermo E Calderon 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 ID7416914221
PECOS Enrollment IDI20110822000418
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 Reassignment

Medicare enrollment records show Guillermo Calderon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Woman Care, LLC
18 mi
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1386823243 (561) 300-2410

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33710 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
67%348 patients3/55-star benchmark: 93%
Cervical Cancer Screening
79%1,207 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
40%57 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
33%528 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%2,407 patients4/55-star benchmark: 100%
e-Prescribing
99%410 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%1,243 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%2,101 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 1,268 patients
1%1,268 patients
Provide Patients Electronic Access to Their Health Information
67%578 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.

Other Providers at the Same Location NPPES 13

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

WILFREDO LORENZO M.D.
Obstetrics & Gynecology (Gynecology)
6700 CROSSWINDS DR N, STE 200A
ST PETERSBURG, FL 33710
Pinellas County (727) 344-4651
GULFCOAST OB GYN PA
Obstetrics & Gynecology
6700 CROSSWINDS DR N, SUITE 200A
SAINT PETERSBURG, FL 33710
Pinellas County (727) 344-4651
DR. MICHAEL DAVID INSOFT DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
6700 CROSSWINDS DR N, SUITE 300 B
ST PETERSBURG, FL 33710
Pinellas County (727) 384-4511
DR. ROSEMARIE MARQUEZ D.M.D.
Dentist (General Practice)
6700 CROSSWINDS DR N, SUITE 100-C
ST PETERSBURG, FL 33710
Pinellas County (727) 345-1774
TAMPA BAY DENTAL IMPLANTS & PERIODONTICS, PL
Clinic/Center (Dental)
6700 CROSSWINDS DR N, SUITE 200B
ST PETERSBURG, FL 33710
Pinellas County (727) 384-9122
DR. IRENE RITA HURST D.M.D., PH.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
6700 CROSSWINDS DR N, SUITE 300B
ST PETERSBURG, FL 33710
Pinellas County (727) 384-4511
DR. CHRISTINA MARIE SHAMAS MD
Obstetrics & Gynecology
6700 CROSSWINDS DR N, SUITE 200-A
ST PETERSBURG, FL 33710
Pinellas County (727) 344-4651
MICHAEL D INSOFT DMD PA
Dentist (Orthodontics and Dentofacial Orthopedics)
6700 CROSSWINDS DR N, SUITE 300B
ST PETERSBURG, FL 33710
Pinellas County (727) 384-4511

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 Guillermo Calderon's NPI number?

The NPI number for Guillermo Calderon is 1669478939. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Guillermo Calderon located?

Guillermo Calderon practices at 6700 Crosswinds Dr N Ste 200A, St Petersburg, FL 33710. The listed phone number is (727) 344-4651.

What is Guillermo Calderon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Guillermo Calderon enrolled in Medicare?

Yes. Guillermo 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.

Which organization bills Medicare for Guillermo Calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Calderon reassigns Medicare benefits to Florida Woman Care, LLC (Tampa, FL). The 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 Guillermo Calderon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guillermo Calderon accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Guillermo 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.

Is Guillermo Calderon affiliated with any hospitals?

According to CMS data, Guillermo Calderon is affiliated with Hca Florida St Petersburg Hospital.

When was this NPI record last updated?

The NPPES record for Guillermo Calderon was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.