ERIK CALDERON M.D.
NPI 1790165728
Internal Medicine in Wichita, KS

Q: What is Erik Calderon's NPI number?

The NPI number for Erik Calderon is 1790165728. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Q: What is Erik Calderon'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 Erik Calderon was last updated on April 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment

89.59/100

CMS Quality Rating

1010 N KANSAS ST, WICHITA, KS 67214(316) 293-2665 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Erik Calderon M.d. NPPES

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

ERIK CALDERON M.D. (NPI 1790165728) is an individual internal medicine provider in Wichita, Kansas, licensed in Kansas (94-08612) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Hutchinson Regional Medical Center Inc, and maintains a secondary practice location in Mcpherson.

NPPES Registry Identity

NPI1790165728

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameERIK CALDERONCredential: M.D.

Location Address1010 N KANSAS STWichita, KS 67214-3124

Mailing Address1010 N Kansas StWichita, KS 67214-3124 · (316) 293-2665

Phone(316) 293-2665

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2019

Enumeration DateJune 4, 2015

Last NPPES UpdateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1790165728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KS · 94-08612

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.

Also ListedPediatricsTaxonomy 208000000X · License 94-08612 (KS)

1010 N KANSAS ST, Wichita, KS 67214

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Secondary Practice Location 1

Location 11000 Hospital DrMcPherson, KS 67460-2326 · Phone (620) 241-2251 · Fax (620) 798-2630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Erik 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 ID2769796846

PECOS Enrollment IDI20190529001511

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

400 services208 patients

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.

332 services186 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.

241 services230 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.

194 services181 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

58 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Hutchinson Regional Medical Center Inc

Acute Care Hospitals · Hutchinson, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170020

Location1701 E 23rd AvenueHutchinson, KS 67502 · Reno County

Emergency services Birthing friendly

Nmc Health

Acute Care Hospitals · Newton, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170103

Location600 Medical Center DriveNewton, KS 67114 · Harvey County

Emergency services

Mcpherson Hospital

Acute Care Hospitals · Mcpherson, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number170105

Location1000 Hospital DriveMcpherson, KS 67460 · Mcpherson County

Emergency services Birthing friendly

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170122

Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

William Newton Hospital

Critical Access Hospitals · Winfield, KS

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number171383

Location1300 East Fifth AvenueWinfield, KS 67156 · Cowley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

89.59/100

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

Scored as part of a group practice

Quality

87.5

Improvement Activities

Cost

66.25

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers199 claims199 services$20.94 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier79 claims79 services$7.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers233 claims233 services$116.73 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$38.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. ISAAC CLAYTON TALBERT MD

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