2026 NPPES data Internal Medicine Physician NPI 1093730772 M.D.
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DANILO CALDERON, M.D.

Internal Medicine Physician in SOUTHGATE, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 638 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
What the federal data reveals: DANILO CALDERON, M.D. is a Internal Medicine Physician ([object Object]) practicing in SOUTHGATE, Kentucky with a Medicare Part D prescribing footprint of 3K claims across 638 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 90.3837/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

DANILO CALDERON, M.D. reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 2,791 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
3K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DANILO CALDERON, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DANILO CALDERON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DANILO CALDERON, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2006

NPI 1093730772

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

2,791 3% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Internal Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Internal Medicine Physician share within Kentucky

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Kentucky

Medicare quality performance — MIPS

DANILO CALDERON, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Internal Medicine Physician) — 90.3837/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DANILO CALDERON, M.D. is a Internal Medicine Physician provider practicing in SOUTHGATE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1093730772. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DANILO CALDERON, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 525 ALEXANDRIA PIKE, SOUTHGATE, KY, 41071, with a listed phone of (859) 781-2210. NPI 1093730772 was issued on 07/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CALDERON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,791 prescription claims written by this provider, covering 638 Medicare beneficiaries and totaling roughly $184K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

525 ALEXANDRIA PIKE
SOUTHGATE, KY 41071

Provider Details

NPI 1093730772
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DANILO CALDERON, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PERMANENTE MEDICAL GROUP INC
SAN FRANCISCO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

DANILO CALDERON, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 2,791 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,791
Total Claims
$184K
Total Drug Cost
638
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,969
Total Day Supply
173,203
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$139K
Generic Drug Cost
$44K
Opioid Claims
39 (1.4% rate)
Antibiotic Claims
71

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.43
Gender Split
56% female / 44% male
Age Distribution
<65: 57, 65-74: 288, 75-84: 194, 85+: 99

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
161
Amlodipine Besylate
130
Losartan Potassium
100
Levothyroxine Sodium
86
Omeprazole
83
Tamsulosin Hcl
70
Albuterol Sulfate Hfa
Albuterol Sulfate
66
Lisinopril
62
Fluticasone Propionate
59
Pantoprazole Sodium
51

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How DANILO CALDERON, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

DANILO CALDERON, M.D.'s 2,791 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as CALDERON.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DANILO CALDERON, M.D.'s specialty?
DANILO CALDERON, M.D. specializes in Internal Medicine Physician and practices in SOUTHGATE, Kentucky. Credentials: M.D..
How much does DANILO CALDERON, M.D. prescribe under Medicare Part D?
In 2023, DANILO CALDERON, M.D. wrote 2,791 Medicare Part D claims totaling $184K in drug costs for 638 beneficiaries.
What is DANILO CALDERON, M.D.'s Medicare quality score?
DANILO CALDERON, M.D. has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DANILO CALDERON, M.D. located?
DANILO CALDERON, M.D. is located at 525 ALEXANDRIA PIKE, SOUTHGATE, KY, 41071. Phone: (859) 781-2210.
What is DANILO CALDERON, M.D.'s NPI number?
DANILO CALDERON, M.D.'s National Provider Identifier (NPI) is 1093730772, issued on 07/13/2006.
Does DANILO CALDERON, M.D. prescribe more brand-name or generic drugs?
DANILO CALDERON, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $139K in brand drug costs.
Does DANILO CALDERON, M.D. prescribe opioids?
Yes, DANILO CALDERON, M.D. had 39 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does DANILO CALDERON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DANILO CALDERON, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DANILO CALDERON, M.D. accept Medicare?
DANILO CALDERON, M.D. appears in CMS Medicare data with 2,791 Part D claims and 638 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DANILO CALDERON, M.D.'s credentials?
DANILO CALDERON, M.D.'s NPI is 1093730772 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology