DR. SOPHINA MANHEIMER CALDERON M.D.
NPI 1861781593
Family Medicine in Tuba City, AZ

Q: What is Sophina Calderon's NPI number?

The NPI number for Sophina Calderon is 1861781593. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Q: What is Sophina Calderon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sophina Calderon was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 04, 2011PECOS EnrolledAccepts Medicare Assignment

167 N MAIN ST, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sophina Manheimer Calderon M.d. NPPES

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

DR. SOPHINA MANHEIMER CALDERON M.D. (NPI 1861781593) is an individual family medicine provider in Tuba City, Arizona, licensed in Arizona (49674) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Baraga County Memorial Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2011).

NPPES Registry Identity

NPI1861781593

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SOPHINA MANHEIMER CALDERONCredential: M.D.

Location Address167 N MAIN STTuba City, AZ 86045-0600

Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677

Phone(928) 283-2501

Fax(928) 283-2677

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2011

Enumeration DateApril 4, 2011

Last NPPES UpdateOctober 13, 2014

✔ NPI 1861781593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 49674

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

167 N MAIN ST, Tuba City, AZ 86045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Dr. Sophina Manheimer 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 ID2365662129

PECOS Enrollment IDI20140930002123

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.

Hospital Affiliations CMS Care Compare

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

Baraga County Memorial Hospital

Critical Access Hospitals · L' Anse, MI

OwnershipGovernment - Local

CMS Certification Number231307

Location18341 Us Highway 41L' Anse, MI 49946 · Baraga County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims2,200 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier11 claims2,200 services$1.76 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$16.26 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

2 suppliers24 claims24 services$94.92 avg. paid by Medicare

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

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.

STELLA MAE DANNY CNA

Nurse's Aide