SANDRA L ESCANDON MD
NPI 1114985942
Specialist in Toms River, NJ

Q: What is Sandra Escandon's NPI number?

The NPI number for Sandra Escandon is 1114985942. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Sandra Escandon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Escandon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

633 RTE 37 W, TOMS RIVER, NJ 08755(732) 240-4787(732) 240-3114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Sandra L Escandon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA L ESCANDON MD (NPI 1114985942) is an individual specialist in Toms River, New Jersey, licensed in New Jersey (25MA04195700) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Hahneman Medical College Of The Pacific (1990).

NPPES Registry Identity

NPI1114985942

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSANDRA L ESCANDONCredential: MD

Location Address633 RTE 37 WToms River, NJ 08755-8007

Mailing Address633 Rte 37 WToms River, NJ 08755-8007 · (732) 240-4787 · Fax (732) 240-3114

Phone(732) 240-4787

Fax(732) 240-3114

Sole ProprietorNo

Medical School CMSHahneman Medical College Of The PacificGraduated 1990

Enumeration DateMay 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114985942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA04195700

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

633 RTE 37 W, Toms River, NJ 08755

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Other Identifiers 4

Medicare ID-Type Unspecified778439BW9NJ

Other519171NJ · Aetna

Medicare UPING13220NJ

Medicaid6533507NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra L Escandon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648168401

PECOS Enrollment IDI20110309000837

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Escandon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC

26 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

198 services115 patients

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

42 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PANDURANG R MISKIN MD

Psychiatry & Neurology (Neurology)