MICHAEL JOSEPH CALUDA III III MD
NPI 1922096254
Surgery in Pensacola, FL

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
4012 N 9TH AVE, PENSACOLA, FL 32503(850) 444-4777(850) 434-3387 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2018, Nov 4, 2016 (2 updates tracked since 2016).

About Michael Joseph Caluda Iii Iii Md NPPES

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

MICHAEL JOSEPH CALUDA III III MD (NPI 1922096254) is an individual surgery provider in Pensacola, Florida, licensed in Florida (ME76005) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Tulane University School Of Medicine (1993).

NPPES Registry Identity

NPI1922096254
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL JOSEPH CALUDA III IIICredential: MD
Location Address4012 N 9TH AVEPensacola, FL 32503-2824
Mailing Address11945 San Jose Blvd, Suite 300Jacksonville, FL 32223-1613 · (904) 396-1725 · Fax (907) 399-1717
Fax(850) 434-3387
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1993
Enumeration DateOctober 11, 2005
Last NPPES UpdateJanuary 19, 20182 updates tracked since enumeration
NPI 1922096254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in FL · ME76005 Licensed in LA · 23130
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4012 N 9TH AVE, Pensacola, FL 32503

Other Identifiers 1

Medicaid254242100FL

Accepted 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

Michael Joseph Caluda Iii Iii 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 ID5698960532
PECOS Enrollment IDI20101117000618
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 12

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
154 services136 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
137 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services60 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
55 services55 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
52 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
74%719 patients3/55-star benchmark: 100%
Breast Cancer Screening
38%537 patients2/55-star benchmark: 93%
Cervical Cancer Screening
0%570 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
34%149 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
9%959 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
81%58 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%27 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%27 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
79%1,936 patients3/55-star benchmark: 100%
e-Prescribing
99%164 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%676 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,460 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,424 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
3%1,471 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 69% · 919 patients
Patients screened: 72% · 919 patients
43%49 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
58%915 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%81 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 712 patients
Patients totalRate: 1% · 712 patients
1%712 patients4/55-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 16

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

Physician Assistant
4012 N 9TH AVE
PENSACOLA, FL 32503
Physician Assistant (Surgical)
4012 N 9TH AVE
PENSACOLA, FL 32503
Surgery
4012 N 9TH AVE
PENSACOLA, FL 32503
Specialist
4012 N 9TH AVE
PENSACOLA, FL 32503
Surgery
4012 N 9TH AVE
PENSACOLA, FL 32503
Occupational Therapist
4012 N 9TH AVE
PENSACOLA, FL 32503
Physician Assistant (Surgical)
4012 N 9TH AVE
PENSACOLA, FL 32503
Occupational Therapist (Hand)
4012 N 9TH AVE
PENSACOLA, FL 32503

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 Michael Caluda Iii's NPI number?

The NPI number for Michael Caluda Iii is 1922096254. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Michael Caluda Iii located?

Michael Caluda Iii practices at 4012 N 9th Ave, Pensacola, FL 32503. The listed phone number is (850) 444-4777.

What is Michael Caluda Iii's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Caluda Iii enrolled in Medicare?

Yes. Michael Caluda Iii 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.

What insurance does Michael Caluda Iii accept?

Health plans from AvMed, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Michael Caluda Iii 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 Michael Caluda Iii affiliated with any hospitals?

According to CMS data, Michael Caluda Iii is affiliated with Sacred Heart Hospital, Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Michael Caluda Iii was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.