Active NPI 1538681754 Individual Practitioner Female Practitioner

Kimberly Calderon , FNP

Nurse Practitioner • Marshall, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Calderon, FNP is a certified Nurse Practitioner practicing in Marshall, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Kimberly Calderon delivers high-quality medical care to the local community at 1900 S WASHINGTON AVE STE E.

Kimberly Calderon is affiliated with Wallis Dermatology Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 S Washington Ave Ste E

Marshall, TX 756706845

Telephone 9035037330

Fax 9035037336

Associated Practice Facility / Clinic

🏢 Wallis Dermatology Associates Pllc Facility NPI 1396945234

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marshall, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -5.4 yrs vs City Avg

City Avg: 14.4 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Marshall, TX (4894 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Calderon (9 Years) 9 Yrs

Marshall Specialty Average (14.4 Years) 14.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,206	292	$33.00	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	1,039	728	$175.00	$73.79
17000 Destruction of skin growth	642	456	$160.00	$43.14
17110 Destruction of up to 14 skin growths	254	218	$270.00	$86.80
11102 Tangential biopsy of single skin lesion	236	204	$245.00	$72.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	147	$250.00	$104.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$225.00	$90.76
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	70	68	$288.00	$91.92
11103 Biopsy of related skin growth, each additional growth	66	43	$130.00	$40.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	13	$10.00	$0.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$345.00	$134.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	31	$423.00	$142.16
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	22	20	$280.00	$82.49
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$320.00	$110.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	12	$51.00	$11.61
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	14	$330.00	$99.73
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	15	$347.00	$103.59
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	13	$245.00	$65.09
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$360.00	$94.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,403	308	$33.00	$5.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,025	701	$175.00	$73.91
17000 Destruction of skin growth	615	445	$160.00	$44.81
17110 Destruction of up to 14 skin growths	217	186	$270.00	$88.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$225.00	$91.60
11102 Tangential biopsy of single skin lesion	188	170	$245.00	$74.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	14	$10.00	$1.09
11103 Biopsy of related skin growth, each additional growth	54	36	$130.00	$41.41
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	48	47	$288.00	$97.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	29	$423.00	$138.39
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	25	25	$331.40	$97.46
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	20	$330.00	$105.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	12	$51.00	$11.62
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$306.11	$113.26
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$280.00	$96.13
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	13	$245.00	$73.89
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$347.00	$99.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,275	288	$33.00	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	925	649	$175.00	$74.82
17000 Destruction of skin growth	549	422	$160.00	$45.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	233	233	$225.00	$91.98
17110 Destruction of up to 14 skin growths	213	185	$270.00	$87.87
11102 Tangential biopsy of single skin lesion	155	143	$245.00	$75.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	130	26	$10.00	$1.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	28	$51.00	$11.95
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	45	44	$288.00	$97.65
11103 Biopsy of related skin growth, each additional growth	32	25	$130.00	$41.52
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$295.00	$108.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	20	$423.00	$144.78
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	16	$330.00	$106.01
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	16	$280.00	$80.08
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	12	$295.00	$83.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,342	287	$33.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	847	590	$168.15	$75.59
17000 Destruction of skin growth	524	399	$160.00	$44.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	220	220	$225.00	$92.69
17110 Destruction of up to 14 skin growths	197	170	$268.68	$90.15
11102 Tangential biopsy of single skin lesion	143	132	$242.69	$80.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	21	$10.00	$1.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	29	$51.00	$11.82
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	34	28	$288.00	$89.21
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	29	27	$295.00	$111.25
11103 Biopsy of related skin growth, each additional growth	29	23	$130.00	$44.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$227.00	$107.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	12	$423.00	$120.59
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	12	$328.57	$104.95
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$294.08	$87.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,064	317	$33.00	$5.00
99213 Established patient office or other outpatient visit, typically 15 minutes	642	436	$150.00	$62.03
17000 Destruction of skin growth	578	402	$160.00	$42.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	265	265	$225.00	$89.42
17110 Destruction of up to 14 skin growths	175	157	$265.00	$86.34
11102 Tangential biopsy of single skin lesion	126	115	$235.00	$74.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	105	$90.00	$37.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	15	$10.00	$1.46
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	49	47	$288.00	$94.66
11103 Biopsy of related skin growth, each additional growth	34	25	$130.00	$44.39
17004 Destruction of precancer skin growth, 15 or more growths	33	30	$430.00	$132.22
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	31	27	$295.00	$102.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	16	$51.00	$11.94
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	18	$326.00	$105.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	20	$423.00	$131.27
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	21	$292.00	$101.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,658	252	$33.00	$4.47
17000 Destruction of skin growth	443	323	$159.73	$41.96
99213 Established patient office or other outpatient visit, typically 15 minutes	435	287	$150.00	$60.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	306	306	$225.00	$87.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	152	$90.00	$36.51
17110 Destruction of up to 14 skin growths	134	117	$264.40	$81.12
11102 Tangential biopsy of single skin lesion	132	124	$229.39	$71.99
17004 Destruction of precancer skin growth, 15 or more growths	75	47	$430.00	$123.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	71	13	$10.00	$1.60
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$155.00	$62.37
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	51	47	$287.06	$86.02
11103 Biopsy of related skin growth, each additional growth	32	24	$130.00	$43.22
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	20	$271.10	$85.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	18	$418.11	$139.98
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	15	$268.16	$99.05
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	16	$326.00	$100.86
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$288.77	$91.30
87220 Tissue fungi or parasites	12	12	$25.00	$4.02
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$235.00	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	553	87	$33.00	$4.27
99213 Established patient office or other outpatient visit, typically 15 minutes	146	121	$150.00	$59.70
17000 Destruction of skin growth	143	112	$145.00	$42.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	73	$90.00	$35.65
11100 Biopsy of single growth of skin and/or tissue	83	76	$195.00	$80.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$225.00	$87.47
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$155.00	$60.42
17004 Destruction of precancer skin growth, 15 or more growths	24	16	$346.67	$117.82
11101 Biopsy of each additional growth of skin and/or tissue	23	18	$63.00	$26.77
17110 Destruction of up to 14 skin growths	22	20	$225.00	$86.64
99283 Emergency department visit with low level of medical decision making	15	15	$546.27	$51.73
99284 Emergency department visit with moderate level of medical decision making	11	11	$1036.36	$94.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$330.00	$143.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	18	18	$538.00	$51.22
99285 Emergency department visit for life threatening or functioning severity	15	15	$1505.00	$143.48
99284 Emergency department visit with moderate level of medical decision making	14	14	$1020.00	$97.21

Medical Specialties & State Licenses

CMS Verified: 2022-05-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 134399

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

377233702 (TX)

Hospital & Practice Group Affiliations

Wallis Dermatology Associates Pllc

1900 S Washington Ave, Marshall, TX 756706845

Phone: 9035037330

Secondary Practice Locations

3535 N Fourth St Ste 400

Longview, TX 756050038

Phone: 9037573881

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Business Mailing Address March 03, 2021

Registered at 3535 N FOURTH ST STE 400, LONGVIEW, TX 756050038 (Tel: 9037573881)

📍

Updated Practice Location September 24, 2019

Registered at 1900 S WASHINGTON AVE STE E, MARSHALL, TX 756706845 (Tel: 9035037330)

📍

Updated Practice Location April 16, 2018

Registered at 6 DOCTOR CIR, LONGVIEW, TX 756055050 (Tel: 9037573881)

📍

Updated Business Mailing Address April 16, 2018

Registered at 6 DOCTOR CIR, LONGVIEW, TX 756055050 (Tel: 9037573881)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2018

Nurse Practitioner (License #134399 in TX)

✅

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2017

Registered at 811 S WASHINGTON AVE, MARSHALL, TX 756705336 (Tel: 9039276011)

📍

Updated Business Mailing Address July 10, 2017

Registered at 403 COUNTRY CLUB DR, MARSHALL, TX 756725803 (Tel: 9032583451)

👤

Provider Name / Credentials Updated July 10, 2017

Recorded as KIMBERLY CALDERON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Emergency Medicine (License #AP134399 in TX)

🟢

Initial NPI Registration & Enumeration July 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538681754

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 10, 2017

Last Update: May 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3535 N Fourth St Ste 400

Longview, TX 756050038

Phone: 9037573881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.