DR. DIEGO H CALONJE M.D.
NPI 1790804961
Ophthalmology - Retina Specialist in Tucson, AZ
Quality Rating: 100 out of 100 score
NPI Status: Active since March 28, 2007
Contact Information
1951 N WILMOT RD
SUITE 15
TUCSON, AZ
ZIP 85712
Phone: (520) 886-4080
Fax: (520) 594-9122
- Individual
- Male
- Years of Experience 35
- Ophthalmology
- Retina Specialist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About DIEGO CALONJE
This page provides the complete NPI Profile along with additional information for Diego Calonje, a provider established in Tucson, Arizona with a medical specialization in Ophthalmology, focusing in retina specialist and more than 35 years of experience. He graduated from University Of Alabama School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1790804961 assigned on March 2007. The practitioner's primary taxonomy code is 207WX0107X with license number 29313 (AZ). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1790804961
- Provider Name
- DR. DIEGO H CALONJE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1951 N WILMOT RD SUITE 15 TUCSON, AZ 85712
- Location Phone
- (520) 886-4080
- Location Fax
- (520) 594-9122
- Mailing Address
- 1951 N WILMOT RD SUITE 15 TUCSON, AZ 85712
- Mailing Phone
- (520) 886-4080
- Mailing Fax
- (520) 594-9122
- Medical School Name
- UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
- Graduation Year
- 1991
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2007
- Last Update Date
- 10-30-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29313
- License State
- AZ
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 174400000X | Other Service Providers | Specialist | 29313 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
567844 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
Diego Calonje is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Diego Calonje is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870574056
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040525000608
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
2d ultrasound scan of eye tissue and structures
Cataract surgery
Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser
Destruction of growth of retina using a laser
Established patient complete exam of visual system
Established patient problem focused exam of visual system
Exam of visual field with extended testing
Extended exam of the back part of the eye with retinal drawing
Imaging of retina
Injection of drug into eye
Injection, aflibercept, 1 mg
Injection, bevacizumab, 10 mg
New patient complete exam of visual system
Photography of the retina
Removal of eye fluid (vitreous) between lens and retina
Removal of membrane of retina
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
This service was performed 14 times for 13 patientsCataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.
This service was performed for 29 patientsThis procedure involves using a laser to eliminate the fluid (vitreous) between your lens and retina, along with the entire retina. It's a method often used to treat various eye conditions and improve eye health.
This service was performed 17 times for 16 patientsThis procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
This service was performed 43 times for 33 patientsAn established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
This service was performed 1,296 times for 830 patientsThis is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
This service was performed 265 times for 194 patientsAn extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
This service was performed 12 times for 12 patientsThis procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
This service was performed 43 times for 31 patientsImaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
This service was performed 2,552 times for 873 patientsAn injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
This service was performed 1,337 times for 306 patientsAflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
This service was performed 810 times for 83 patientsBevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
This service was performed 866 times for 245 patientsA new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
This service was performed 274 times for 274 patientsPhotography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
This service was performed 162 times for 158 patientsThis procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
This service was performed 14 times for 12 patientsRemoval of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.92 for a new patient copayment and $17.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85712 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.71
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $31.92
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
---|---|---|
Closing the Referral Loop: Receipt of Specialist Report | 91% | 526 |
Diabetes: Eye Exam | 99% | 1779 |
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 91% | 1131 |
Documentation of Current Medications in the Medical Record | 94% | 7966 |
e-Prescribing | 94% | 717 |
Falls: Screening for Future Fall Risk | 95% | 2997 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 2122 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 2122 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92% | 90 |
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 99% | 655 |
Provide Patients Electronic Access to Their Health Information | 89% | 2790 |
Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 2997 |
Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 2997 |
Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 2997 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 9 | 0 | 8 | 0 | 4 | 9 | 6 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 16 | 0 | 8 | 9 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 1 + 6 + 0 + 8 + 9 + 1 + 2 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1790804961 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
WILLIAM NEVIN M.D.
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ZIP 85712
MARK A WOLFSON M.D.
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ZIP 85712
CAROL A WOLFE M.D.
Internal Medicine
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BUILDING 3
TUCSON, AZ
ZIP 85712
MARY MARGARET JONES M.D.
Internal Medicine
1951 N WILMOT RD
BUILDING 3
TUCSON, AZ
ZIP 85712
DR. WILLIAM N NEUBAUER MD
Surgery
1951 N WILMOT RD
BUILDING 2
TUCSON, AZ
ZIP 85712
DR. PATRICK A SMITH MD
Surgery
1951 N WILMOT RD
BUILDING 2
TUCSON, AZ
ZIP 85712
DR. DANIEL P MCCABE MD
Surgery
(Surgical Oncology)
1951 N WILMOT RD
BUILDING 2
TUCSON, AZ
ZIP 85712
DR. MARK M KARTCHNER MD
Surgery
1951 N WILMOT RD
BUILDING 2
TUCSON, AZ
ZIP 85712
DR. TERRANCE P ADKINS M.D.
Colon & Rectal Surgery
1951 N WILMOT RD
BUILDING 2
TUCSON, AZ
ZIP 85712
ARETE SLEEP THERAPY LLC
Durable Medical Equipment & Medical Supplies
1951 N WILMOT RD
BLDG #1 UNIT #4
TUCSON, AZ
ZIP 85712
ARETE SLEEP LLC
Clinic/Center
(Sleep Disorder Diagnostic)
1951 N WILMOT RD
BUILDING 1, UNIT 4
TUCSON, AZ
ZIP 85712
DR. STEPHEN F SAILER D.D.S.
Dentist
(General Practice)
1951 N WILMOT RD
BLDG. 5
TUCSON, AZ
ZIP 85712
MARIA CRAWFORD FNP
Nurse Practitioner
(Family)
1951 N WILMOT RD
BLDG 2
TUCSON, AZ
ZIP 85712
ARETE SLEEP THERAPY LLC
Durable Medical Equipment & Medical Supplies
1951 N WILMOT RD
BLDG #4
TUCSON, AZ
ZIP 85712
PULMONARY ASSOCIATES OF SOUTHERN ARIZONA, PC
Specialist
1951 N WILMOT RD
BLDG 4
TUCSON, AZ
ZIP 85712
WELL AMERICA
Clinic/Center
(Health Service)
1951 N WILMOT RD
TUCSON, AZ
ZIP 85712
SUSAN CASSIDY ANP
Licensed Practical Nurse
1951 N WILMOT RD
BLDG 4
TUCSON, AZ
ZIP 85712
DR. MOHAMMAD RIDA KHREISS M.D.
Surgery
(Surgical Oncology)
1951 N WILMOT RD
BLDG 2
TUCSON, AZ
ZIP 85712
NEVA CORBELL
Nurse Practitioner
(Family)
1951 N WILMOT RD
BLDG 4
TUCSON, AZ
ZIP 85712
DIEGO H. CALONJE M.D. PC
Ophthalmology
(Retina Specialist)
1951 N WILMOT RD
SUITE 15
TUCSON, AZ
ZIP 85712
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790804961, enumerated as an "individual" on March 28, 2007.
The provider is located at 1951 N WILMOT RD SUITE 15 TUCSON, AZ 85712 and the phone number is (520) 886-4080.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to verify.