NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1861484115 M.D.
Verify on CMS → Pedro Calves, M.D.
Pulmonary Disease Physician in Babylon, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
273
Medicare Part D claims · 31 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$13.4
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Pedro Calves, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 273 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 273
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Pedro Calves, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1861484115), first enumerated 08/22/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 273 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$13.4 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Pedro Calves, M.D.'s individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1861484115 · Pulmonary Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1861484115
- ENUM-LEGACY 2005
- TAX-MID 10K Pulmonary Disease
- MIPS-NEUTRAL 75/100
- RX-LIGHT 273
- BOOK-LIGHT 794 in New York
- PHOTO-ENUM Srinivas Katragadda,… · 2005
Pedro Calves, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
273 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Pedro Calves, 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).
What does the federal data show about Pedro Calves, M.D.?
CMS neutral score, not measuredPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
273 82% vs specialty avg
MIPS final score
75/100
Specialty distribution in New York
How Pulmonary Disease Physician compares to other specialties among New York providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1861484115 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/22/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Pedro Calves, 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.
Good Shepherd Hospice
Farmingdale, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Pedro Calves, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$13
Largest payer
Cumberland Pharmaceuticals, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Pedro Calves, M.D.. To verify Pedro Calves, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
273
Total Claims
$17K
Total Drug Cost
31
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 277
- Total Day Supply
- 7,947
- Generic Drug Cost
- $13K
- Opioid Claims
- 163 (59.7% rate)
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 2.62
- Gender Split
- 48% female / 52% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Pedro Calves, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
50 claims
- Alprazolam
Alprazolam
33 claims
- Fentanyl
Fentanyl
33 claims
- Methadone Hcl
Methadone Hcl
22 claims
- Oxycodone-Acetamin… 17
Oxycodone-Acetaminophen
17 claims
- Hydromorphone Hcl 16
Hydromorphone Hcl
16 claims
- Gabapentin 14
Gabapentin
14 claims
- Celecoxib 13
Celecoxib
13 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 50 |
| Alprazolam | 33 |
| Fentanyl | 33 |
| Methadone Hcl | 22 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 17 |
| Hydromorphone Hcl | 16 |
| Gabapentin | 14 |
| Celecoxib | 13 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 12 |
| Lorazepam | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Pedro Calves, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider
Pedro Calves, M.D.'s 273 claims are below the specialty average of 1,498.
Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Calves, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pulmonary Disease Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Calves.
One of 794 Pulmonary Disease Physician providers enrolled in New York, 5 are shown here.
Dr. Antoine Tony Abed
MD
New York, NY
Dr. Michael Aboodi
M.D.
New York, NY
Dr. Jose Acevedo-Ramos
M.D.
Geneva, NY
Dr. Angelo Acquista
MD
New York, NY
Dr. Francis Adams
M.D.
New York, NY
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Pedro Calves, M.D.'s specialty? ▼
Pedro Calves, M.D. specializes in Pulmonary Disease Physician and practices in Babylon, New York. Credentials: M.D..
How much does Pedro Calves, M.D. prescribe under Medicare Part D? ▼
In 2024, Pedro Calves, M.D. wrote 273 Medicare Part D claims totaling $17K in drug costs for 31 beneficiaries.
What is Pedro Calves, M.D.'s Medicare quality score? ▼
Pedro Calves, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Pedro Calves, M.D. located? ▼
Pedro Calves, M.D. is located at 26A JOHN ST, Babylon, NY, 11702. Phone: (631) 669-4500.
What is Pedro Calves, M.D.'s NPI number? ▼
Pedro Calves, M.D.'s National Provider Identifier (NPI) is 1861484115, issued on 08/22/2005.
Does Pedro Calves, M.D. prescribe opioids? ▼
Yes, Pedro Calves, M.D. had 163 opioid claims in 2024 with an opioid prescribing rate of 59.7%.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Pedro Calves, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Pedro Calves, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Alprazolam, Fentanyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pedro Calves, M.D. accept Medicare? ▼
Pedro Calves, M.D. appears in CMS Medicare data with 273 Part D claims and 31 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pedro Calves, M.D.'s credentials? ▼
Pedro Calves, M.D.'s NPI is 1861484115 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.