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

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: August 02, 2026.

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, is affiliated with Ocean Medical Center, 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
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

Other Identifiers 4

Medicare ID-Type Unspecified778439BW9NJ
Other519171NJ · Aetna
Medicare UPING13220NJ
Medicaid6533507NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

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
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Psychiatry & Neurology (Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Vascular Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Specialist
633 RTE 37 W
TOMS RIVER, NJ 08755
Specialist
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
633 RTE 37 W
TOMS RIVER, NJ 08755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Sandra Escandon located?

Sandra Escandon practices at 633 Rte 37 W, Toms River, NJ 08755. The listed phone number is (732) 240-4787.

What is Sandra Escandon's specialty?

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

Is Sandra Escandon enrolled in Medicare?

Yes. Sandra Escandon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sandra Escandon affiliated with any hospitals?

According to CMS data, Sandra Escandon is affiliated with Ocean Medical Center.

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.