DR. PHILLIP CALAJ DPM
NPI 1922627793
Podiatrist - Foot & Ankle Surgery in Clermont, FL

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
84.18/100
CMS Quality Rating
2020 OAKLEY SEAVER DR STE 3, CLERMONT, FL 34711(352) 242-0404(352) 242-0877 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 21, 2023, Apr 13, 2020 (2 updates tracked since 2020).

About Dr. Phillip Calaj Dpm NPPES

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

DR. PHILLIP CALAJ DPM (NPI 1922627793) is an individual foot & ankle surgery provider in Clermont, Florida, licensed in Florida (PO4355) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1922627793
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PHILLIP CALAJCredential: DPM
Location Address2020 OAKLEY SEAVER DR STE 3Clermont, FL 34711-1902
Mailing Address2020 Oakley Seaver Dr Ste 3Clermont, FL 34711-1902 · (352) 242-0404 · Fax (352) 242-0877
Fax(352) 242-0877
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1922627793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in FL · PO4355
2020 OAKLEY SEAVER DR STE 3, Clermont, FL 34711

Secondary Practice Location 1

Location 12501 N Orange Ave Ste 235Orlando, FL 32804-4659 · Phone (407) 303-5990

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

Dr. Phillip Calaj Dpm 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 ID143650440
PECOS Enrollment IDI20230531001617
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 13

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 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.
324 services138 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
241 services138 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
178 services94 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.
142 services142 patients
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.
77 services55 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.
54 services47 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

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.

84.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.54
Improvement Activities40
Cost61.23

Other Providers at the Same Location NPPES 6

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

Non-Pharmacy Dispensing Site
2020 OAKLEY SEAVER DR STE 3
CLERMONT, FL 34711
Plastic Surgery
2020 OAKLEY SEAVER DR STE 3
CLERMONT, FL 34711
Orthopaedic Surgery
2020 OAKLEY SEAVER DR STE 3
CLERMONT, FL 34711
Emergency Medicine (Sports Medicine)
2020 OAKLEY SEAVER DR STE 3
CLERMONT, FL 34711
Surgery (Plastic and Reconstructive Surgery)
2020 OAKLEY SEAVER DR STE 3
CLERMONT, FL 34711
Physician Assistant
2020 OAKLEY SEAVER DR STE 3
CLERMONT, FL 34711

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 Phillip Calaj's NPI number?

The NPI number for Phillip Calaj is 1922627793. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Phillip Calaj located?

Phillip Calaj practices at 2020 Oakley Seaver Dr Ste 3, Clermont, FL 34711. The listed phone number is (352) 242-0404.

What is Phillip Calaj's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Phillip Calaj enrolled in Medicare?

Yes. Phillip Calaj 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 Phillip Calaj accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Phillip Calaj 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 Phillip Calaj affiliated with any hospitals?

According to CMS data, Phillip Calaj is affiliated with Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Calaj was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.