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MR. RUDDY S CALDERON PMHNP
NPI 1770848038
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since July 11, 2012PECOS Enrolled
490 E RIDGE RD, ROCHESTER, NY 14621(585) 922-2500 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Ruddy S Calderon Pmhnp NPPES

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

MR. RUDDY S CALDERON PMHNP (NPI 1770848038) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (401491) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770848038
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RUDDY S CALDERONCredential: PMHNP
Location Address490 E RIDGE RDRochester, NY 14621-1229
Mailing Address490 E Ridge RdRochester, NY 14621-1229
Phone(585) 922-2500
Sole ProprietorNo
Enumeration DateJuly 11, 2012
✔ NPI 1770848038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401491
490 E RIDGE RD, Rochester, NY 14621
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ruddy S Calderon Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Ruddy Calderon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medicalpsych Care, PLLC
244 mi
Health
5 W MAIN ST, SUITE 206
Elmsford, NY 10523
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1306283320 (914) 345-9154
Riverdale Mental Health Association Inc
247 mi
Community/Behavioral Health
5676 RIVERDALE AVENUE
Bronx, NY 10471
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1174557409 (718) 796-5300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

TODD GEROME MIX LMSW
Counselor (Mental Health)
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2570
MS. ARLENE PUSTALKA R.N.
Registered Nurse
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2500
RACHAEL ELIZABETH ROSS MHC
Counselor (Mental Health)
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2500
JOSEPH PIERRE
Social Worker
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2742
ROBERT SWIERCZEK CASE MANAGER
Case Manager/Care Coordinator
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2742
KATHERINE L ALLKOFER MSW
Counselor (Mental Health)
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2500
BRITTANY MARIE BOWHALL MHC
Case Manager/Care Coordinator
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-2728
MATTHEW IORIO MSW
Social Worker (Clinical)
490 E RIDGE RD
ROCHESTER, NY 14621
Monroe County (585) 922-9900

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 Ruddy Calderon's NPI number?

The NPI number for Ruddy Calderon is 1770848038. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Ruddy Calderon located?

Ruddy Calderon practices at 490 E Ridge Rd, Rochester, NY 14621. The listed phone number is (585) 922-2500.

What is Ruddy Calderon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ruddy Calderon enrolled in Medicare?

Yes. Ruddy Calderon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ruddy Calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruddy Calderon reassigns Medicare benefits to 2 organizations: Medicalpsych Care, PLLC (Elmsford, NY) and Riverdale Mental Health Association Inc (Bronx, NY). 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 Ruddy Calderon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruddy Calderon accept?

Health plans from Oscar Health list Ruddy 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 Ruddy Calderon was last updated on July 11, 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.