MR. JOSE CALDERON (PA-C) – Physician Assistant, NPI 1033506480

MR. JOSE CALDERON (PA-C) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1637 (ME). The NPI Number for MR. JOSE CALDERON (PA-C) is 1033506480

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSE CALDERON (PA-C)
NPI
1033506480
Phone
(817) 346-5960
Address
6100 HARRIS PKWY
Enumeration Date
23 April 2015
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175516161
Graduation Year
2014 (12 years ago)
PAC ID
1456656180
Group Practice PAC ID
1052673829
Professional Enrollment ID
I20160218000049
Address ID
TX760287021BU11801FWYX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:11State licenses:3Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. JOSE CALDERON (PA-C)

  • 6100 HARRIS PKWY

    SUITE 345

    FORT WORTH, TX 761324101

    Phone: (817) 346-5960

    Fax: (817) 346-5961

    Type: Mailing

  • PO BOX 16657

    FORT WORTH, TX 761620657

    Phone: (817) 551-6161

    Fax: (817) 551-6177

    Type: Mailing

  • 11801 SOUTH FWY STE 140

    BURLESON, TX 760287021

    Phone: (817) 551-6161

    Fax: (817) 551-6177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $2,630.

Total Amount is formed as General ($2,630) + Research ($0) + Ownership ($0) = $2,630.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($1,073).

Total Amount

$2,630

General + Research + Ownership

Payments

107

Total payment records

General Amount

$2,630

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2016-02-18

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
I20160218000049IPhysician AssistantTXTBD

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 minutes8273$0
99213Established patient office or other outpatient visit, 20-29 minutes6864$0
99203New patient office or other outpatient visit, 30-44 minutes6565$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
View full utilization report →

Insurance plans in this area (ZIP 76132)

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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: 1052673829View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does MR. JOSE CALDERON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. JOSE CALDERON (PA-C) uses 1033506480.
Can I rely on MR. JOSE CALDERON (PA-C) being an active provider?
As of the registry snapshot, MR. JOSE CALDERON (PA-C) is marked active.
What is MR. JOSE CALDERON (PA-C)'s specialty?
The listing groups MR. JOSE CALDERON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. JOSE CALDERON (PA-C) serve?
MR. JOSE CALDERON (PA-C)'s listing highlights Fort Worth, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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