Individual provider Active NPI

Rocco Richard Calderone, MD

  • Orthopaedic Surgery of the Spine Physician
  • Camarillo, CA
National Provider Identifier
1154316099
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G78977 Issued in CA
Practice address
2486 Ponderosa Drive North D 114
Camarillo, CA 93010-2469
Phone
(805) 484-2783
Fax
(805) 987-8519
NPI assigned
Sep 16, 2005
Last updated
May 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G78977 CA Primary

Addresses

Primary practice location

2486 Ponderosa Drive North D 114
Camarillo, CA 93010-2469

Mailing address

2486 Ponderosa Drive North D 114
Camarillo, CA 93010-2469
Phone (805) 484-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081220000121 CA Practitioner - Orthopedic Surgery 6901968205 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA; Oxnard, CA; Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2486 N Ponderosa Dr
Suite D114
Camarillo, CA 93010-2469
Phone (805) 484-2783

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.65 of 100Reported as individual
Quality
60.68
Improvement activities
40
Cost
55.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Spine Institute of Southern California, Inc. Orthopaedic Surgery of the Spine CurrentSince Jan 1, 2017 Accepting new patients
Dignity Health Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Community Memorial Hospital District Past Accepting new patients
Orthopedic Hospitalists of Oxnard PC Past Accepting new patients

Locations

2486 N Ponderosa Dr
Ste D114
Camarillo, CA 93010
Phone (805) 484-2783

625 N A St
Ste 300
Oxnard, CA 93030
Phone (805) 351-0745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1154316099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 PONDEROSA DRIVE NORTH D 114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102469",
            "telephone_number": "805-484-2783",
            "fax_number": "805-987-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 PONDEROSA DRIVE NORTH D 114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102469",
            "telephone_number": "805-484-2783",
            "fax_number": "805-987-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "ROCCO",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G78977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.