Edye A. Calderon, PAC
NPI 1669577474ActiveIndividual· Physician Assistant· Frederick, OK
Physician Assistant (PAC) in Frederick, Oklahoma, licensed in OK and AZ, with an NPI issued in September 2006. 126 Medicare patients in 2024, $15,668 paid; nearly all of their 144 Part D prescriptions were generic (96%).
Overview
| NPI | 1669577474 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Aug 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1645 | OK |
| Physician Assistant, Medical | 363AM0700X | 2868 | AZ |
| Physician Assistant, Surgical | 363AS0400X | 2868 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 282 across 22 procedure codes |
| Paid by Medicare | $15,668 |
Part D prescriptions in 2024
| Prescriptions (claims) | 144 · 144 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $1,619 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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