MR. BENITO JR. CALDERON (MD) – Internal Medicine Physician, NPI 1396799904

MR. BENITO JR. CALDERON (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 10170 (NV). The NPI Number for MR. BENITO JR. CALDERON (MD) is 1396799904

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. BENITO JR. CALDERON (MD)
NPI
1396799904
Phone
(702) 623-7205
Address
3000 W CHARLESTON BLVD.
Enumeration Date
19 May 2006
Last Update Date
28 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028779511
Graduation Year
1992 (34 years ago)
PAC ID
8123027257
Group Practice PAC ID
4587795091
Professional Enrollment ID
I20090623000741
Address ID
NV891021940LA3000XBLVD402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,575 INTERNAL MEDICINE in NV

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Provider Addresses for MR. BENITO JR. CALDERON (MD)

  • 3000, West Charleston Boulevard, Rancho Charleston, Las Vegas, Clark County, Nevada, 89102, United States

    SUITE 5

    LAS VEGAS, NV 891021906

    Phone: (702) 623-7205

    Fax: (702) 489-2417

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $3,312.

Total Amount is formed as General ($3,312) + Research ($0) + Ownership ($0) = $3,312.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($297).

Total Amount

$3,312

General + Research + Ownership

Payments

157

Total payment records

General Amount

$3,312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090623000741IInternal MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes837335$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month26747$0
99497Advance care planning, first 30 minutes136134$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit134134$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month9534$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587795091View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Internal MedicineNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Can I cross-check MR. BENITO JR. CALDERON (MD) using NPI 1396799904?
NPI 1396799904 belongs to MR. BENITO JR. CALDERON (MD); compare other details if you need extra assurance.
Is MR. BENITO JR. CALDERON (MD) shown as active in public data?
Registry records indicate MR. BENITO JR. CALDERON (MD) maintains an active NPI.
What clinical focus is listed for MR. BENITO JR. CALDERON (MD)?
At a glance, MR. BENITO JR. CALDERON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MR. BENITO JR. CALDERON (MD) associated with Las Vegas?
Public fields place MR. BENITO JR. CALDERON (MD) around Las Vegas, Nevada. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. BENITO JR. CALDERON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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