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Dr. Nicolas Cal, DO

Accepting New Patients

(63 Ratings)

Specializes in: Adult Gastroenterology

University of New England, College of Osteopathic Medicine

Professional interests include: gastrointestinal problems (digestive disorders)

115 W Silver Street Floor 2
Westfield, MA 01085

(413) 572-6069

Dr. Nicolas Cal, DO is a gastroenterologist in Westfield, MA specializing in adult gastroenterology. He graduated from University of New England, College of Osteopathic Medicine. Dr. Nicolas Cal, DO is affiliated with Baystate Health, Trinity Health of New England, Baystate Medical Center (BMC) and RIVERBEND MEDICAL GROUP INC.

Office Locations

115 W Silver Street Floor 2
Westfield, MA 01085

(413) 572-6069

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140 High Street
Springfield, MA 01105

(413) 794-2511

(413) 794-8428

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148 Hazard Avenue
Enfield, CT 06082

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175 Carew Street Suite 120
Springfield, MA 01104

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299 Carew Street Suite 419
Springfield, MA 01104

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Some issues Dr. Nicolas Cal, DO can help you with:

Gastrointestinal Problems (Digestive Disorders)

The gastrointestinal system, or GI tract, is the name given to a collection of organs that work together to digest food. These organs fit together in a long tube, running from the mouth to the anus, and include the esophagus, stomach, and intestines, among others. With so many parts working together, complicated by today's busy lifestyles and diets, digestive problems are common. As many as 1 in 3 Americans have a digestive or GI disorder. There are a huge variety of digestive problems, but the most common are IBS, constipation, GERD, hemorrhoids, and ulcers.

IBS, or irritable bowel syndrome, happens when the muscles surrounding the colon contract too easily or frequently. The result is abdominal pain, cramps, diarrhea or constipation, gas and bloating. IBS attacks can often be brought on by specific triggers, so a key part of treatment is learning which foods trigger IBS attacks and avoiding them. Treatment also includes exercise, avoiding stress, and medications if needed.

Constipation, or large, hard, or infrequent stools, happens to everyone at some point. It can be caused by a disruption in routine or food, or by eating a diet without many fresh fruits and vegetables. Although it is uncomfortable, constipation is common and usually not serious, but it can sometimes become chronic. Adding fiber to the diet, exercising, and taking medications may help.

GERD, or gastroesophageal reflux disease, is a severe form of chronic heartburn where stomach acid spills back up into the esophagus. Left untreated, the acid may even eat away at the esophagus and cause serious damage. Treatment includes changing the diet to avoid trigger foods, losing weight if needed, medications, or even surgery.

Hemorrhoids are blood vessels around the rectum that become irritated, swollen or torn while straining during a bowel movement. They are most often caused by constipation, but can also be caused by pregnancy, diarrhea, or simply a genetic predisposition towards hemorrhoids. Treatment involves first treating any constipation issues, then keeping the area clean and soothed until it has healed. If these measures are ineffective, surgery is sometimes used.

Peptic ulcers are sores or spots of inflammation in the lining of the stomach or close to the stomach in the small intestine. Usually this area is coated with a protective lining that shields the tissue from the strong stomach acid, but a break in the lining can let acid in, causing the sores. It used to be thought that stress caused ulcers, but now it is known that is not the case. Most often, they are caused by an infection by H. pylori bacteria, but ulcers can also be caused by alcohol abuse or overuse of aspirin, ibuprofen, naproxen, or other NSAIDS. The symptoms of an ulcer are pain, hunger, nausea, and fatigue.

Gastrointestinal problems, perhaps more than any other area, are markedly affected by lifestyle. Many disorders can be prevented or treated at least in part by eating a healthy diet high in fiber, exercising regularly, drinking enough water, and limiting alcohol intake. Still, the frequency of digestive disorders means that even the healthiest person can be affected by them. Anyone who notices blood in their stool, experiences abdominal pain, unexplained weight loss, or any significant change in bowel movements should see a doctor.

Noteworthy Medicare Patient Procedures Performed by Dr. Nicolas Cal, DO in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

inpatient hospital care

By Affordability:

balloon dilation

EGD for treatment of gastrointestinal bleeding

EGD with dilation

EGD with esophageal dilation

endoscopic esophageal dilation

esophageal balloon dilation

esophageal dilation

upper endoscopy for treatment of gastrointestinal bleeding

upper endoscopy with dilation

upper endoscopy with esophageal dilation

In 2023, among providers in related specialties within Massachusetts, Dr. Nicolas Cal, DO performed more inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 95% of them and he also had a list price for balloon dilation, EGD for treatment of gastrointestinal bleeding, EGD with dilation, EGD with esophageal dilation, endoscopic esophageal dilation, esophageal balloon dilation, esophageal dilation, upper endoscopy for treatment of gastrointestinal bleeding, upper endoscopy with dilation, and upper endoscopy with esophageal dilation that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

colonoscopy

endoscopy

gastrointestinal procedures

By Affordability:

diagnostic EGD

diagnostic EGD without biopsy

diagnostic upper endoscopy

EGD with biopsy

EGD with lesion removal

esophagogastroduodenoscopy

therapeutic EGD

therapeutic upper endoscopy

upper endoscopy

upper endoscopy with biopsy

upper endoscopy with lesion removal

In 2023, among providers in related specialties within Massachusetts, Dr. Nicolas Cal, DO performed more colonoscopy, endoscopy, and gastrointestinal procedures procedures for Medicare patients than 90% of them and he also had a list price for diagnostic EGD, diagnostic EGD without biopsy, diagnostic upper endoscopy, EGD with biopsy, EGD with lesion removal, esophagogastroduodenoscopy (EGD), therapeutic EGD, therapeutic upper endoscopy, upper endoscopy, upper endoscopy with biopsy, and upper endoscopy with lesion removal that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

colonoscopy with biopsy

colonoscopy with lesion removal

EGD with biopsy

EGD with esophageal dilation

EGD with lesion removal

esophageal balloon dilation

esophageal dilation

gastrointestinal biopsy

preventive care

removal of lesion

screening colonoscopy

In 2013, Dr. Nicolas Cal, DO performed more colonoscopy with biopsy, colonoscopy with lesion removal, EGD with biopsy, EGD with esophageal dilation, EGD with lesion removal, esophageal balloon dilation, esophageal dilation, gastrointestinal biopsy, preventive care, removal of lesion (e.g. growth), and screening colonoscopy procedures for Medicare patients than 75% of providers in related specialties within Massachusetts.

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

doctor visit	50

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	25
Female	28

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	33
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	24

Conditions of Medicare patients treated by Dr. Nicolas Cal, DO in 2018

The most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated during 2018 were hypertension, diabetes, depression and chronic kidney disease.

Hypertension	57
High Cholesterol	38
Stroke	0
Ischemic Heart Disease	30
Depression	51
Chronic Kidney Disease	43
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	23
Chronic Obstructive Pulmonary Disease	0
Diabetes	53
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

doctor visit	80

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	30
Female	42

**Ethnicity**
Non-Hispanic White	14
Black	0
Hispanic	43
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	25
From 75 to 84	0
85 and over	0
Less than 65	31

Conditions of Medicare patients treated by Dr. Nicolas Cal, DO in 2019

The most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated during 2019 were hypertension, depression, diabetes and chronic kidney disease.

Hypertension	65
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	40
Depression	49
Chronic Kidney Disease	40
Asthma	24
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	33
Chronic Obstructive Pulmonary Disease	22
Diabetes	44
Dementia	18
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Nicolas Cal, DO treated as a gastroenterologist in Westfield, MA during 2020 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

diagnostic procedures	54
doctor visit	57
gastrointestinal procedures	65
hospital care	26
inpatient care	26
minimally invasive procedures	65
removal of lesion (e.g. growth)	54

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	59
Female	93

**Ethnicity**
Non-Hispanic White	114
Black	0
Hispanic	26
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	62
From 75 to 84	42
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nicolas Cal, DO in 2020

The most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated during 2020 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	67
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	38
Depression	41
Chronic Kidney Disease	45
Asthma	13
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	27
Chronic Obstructive Pulmonary Disease	23
Diabetes	33
Dementia	18
Cancer	16

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Nicolas Cal, DO treated as a gastroenterologist in Westfield, MA during 2021 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

diagnostic procedures	187
doctor visit	89
gastrointestinal procedures	244
hospital care	112
inpatient care	112
minimally invasive procedures	244
preventive care	40
removal of lesion (e.g. growth)	187

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	158
Female	177

**Ethnicity**
Non-Hispanic White	287
Black	0
Hispanic	27
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	103
85 and over	41
Less than 65	64

Conditions of Medicare patients treated by Dr. Nicolas Cal, DO in 2021

The most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated during 2021 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	72
High Cholesterol	62
Stroke	9
Ischemic Heart Disease	40
Depression	33
Chronic Kidney Disease	43
Asthma	16
Osteoperosis	13
Atrial Fibrilation	15
Heart Failure	27
Chronic Obstructive Pulmonary Disease	22
Diabetes	33
Dementia	20
Cancer	17

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Nicolas Cal, DO treated as a gastroenterologist in Westfield, MA during 2022 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

balloon dilation	22
diagnostic procedures	240
doctor visit	30
esophageal dilation	22
gastrointestinal procedures	374
hospital care	194
inpatient care	194
minimally invasive procedures	374
preventive care	68
removal of lesion (e.g. growth)	240

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	212
Female	211

**Ethnicity**
Non-Hispanic White	350
Black	20
Hispanic	35
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	192
From 75 to 84	106
85 and over	35
Less than 65	90

Conditions of Medicare patients treated by Dr. Nicolas Cal, DO in 2022

The most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated during 2022 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	75
High Cholesterol	70
Stroke	12
Ischemic Heart Disease	34
Depression	35
Chronic Kidney Disease	36
Asthma	17
Osteoperosis	9
Atrial Fibrilation	22
Heart Failure	28
Chronic Obstructive Pulmonary Disease	23
Diabetes	32
Dementia	13
Cancer	18

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Nicolas Cal, DO treated as a gastroenterologist in Westfield, MA during 2023 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

balloon dilation	29
diagnostic procedures	271
doctor visit	54
esophageal dilation	29
gastrointestinal procedures	409
hospital care	245
inpatient care	245
minimally invasive procedures	409
preventive care	68
removal of lesion (e.g. growth)	271

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	240
Female	253

**Ethnicity**
Non-Hispanic White	431
Black	0
Hispanic	24
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	155
85 and over	55
Less than 65	63

Conditions of Medicare patients treated by Dr. Nicolas Cal, DO in 2023

The most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated during 2023 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	36
Depression	31
Chronic Kidney Disease	33
Asthma	15
Osteoperosis	15
Atrial Fibrilation	27
Heart Failure	31
Chronic Obstructive Pulmonary Disease	27
Diabetes	31
Dementia	15
Cancer	21

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2018 - 2023

Volume of procedures performed by Dr. Nicolas Cal, DO for Medicare patients.

The highest averages for the top procedures that Dr. Nicolas Cal, DO treated as a gastroenterologist in Westfield, MA were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

balloon dilation	25
diagnostic procedures	188
doctor visit	60
esophageal dilation	25
gastrointestinal procedures	273
hospital care	144
inpatient care	144
minimally invasive procedures	273
preventive care	58
removal of lesion (e.g. growth)	188

Average Medicare Patient Data From 2018 - 2023

Information about Medicare patients treated by Dr. Nicolas Cal, DO.

**Gender**
Male	120
Female	134

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	199
Native American / Alaskan Native	0
Hispanic	31
Other	3

**Age**
75 to 84	67
85 and over	21
Less than 65	45
65 to 74	104

Average of Total of Conditions of Medicare patients treated by Dr. Nicolas Cal, DO From 2018 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Nicolas Cal, DO treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	68
High Cholesterol	56
Stroke	5
Ischemic Heart Disease	36
Depression	40
Chronic Kidney Disease	40
Asthma	14
Osteoporosis	8
Heart Failure	28
Chronic Obstructive Pulmonary Disease	19
Diabetes	37
Atrial Fibrillation	13
Cancer	12
Dementia	14

Education & Training

Dr. Nicolas Cal, DO graduated from University of New England, College of Osteopathic Medicine. He completed residency at Baystate Medical Center. He is certified by the Internal Medicine, Internal Medicine, American Board and has a state license in Massachusetts.

Medical School: University of New England, College of Osteopathic Medicine

Residency: Baystate Medical Center

Board Certification: Internal Medicine, Internal Medicine, American Board (2017)

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Nicolas Cal, DO is associated with these hospitals and organizations:

Baystate Health

Trinity Health of New England

Baystate Medical Center (BMC)

RIVERBEND MEDICAL GROUP INC

Ratings & Reviews

Dr. Nicolas Cal, DO has an exceptional overall rating with an average of 5.0 out of 5 stars based on 63 ratings. We collect ratings and reviews of Dr. Nicolas Cal, DO from all over the web to help you find the right in Westfield, MA.

Overall Rating

(63 Ratings)

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General Payments

These charts describe general payments received by Dr. Nicolas Cal, DO. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AbbVie, Inc.	$100 $100
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$64 XIFAXAN $52	Trulance $12
AbbVie Inc.	$62 LINZESS $24	Rinvoq $22	Mavyret $17
Cook Medical LLC	$29 $29
Braintree Laboratories, Inc.	$18 SUTAB $18
Other	$16 $16

**Types of Payments**
Food and Beverage	$260
Grant	$29

Biography

Dr. Nicolas Cal works as an adult gastroenterology. Dr. Cal's patients gave him an average rating of 5.0 stars (out of 5). He is affiliated with Baystate Medical Center (BMC) and Trinity Health of New England. Baystate Health reports that he is accepting new patients at his office in Springfield, MA. His education and training includes medical school at the University of New England, College of Osteopathic Medicine and residency at UMass Memorial Medical Center and Baystate Medical Center. Dr. Cal (or staff) speaks Spanish and Portuguese.