GLORIA M ESCAMILLA MD
NPI 1114991924
Obstetrics & Gynecology - Gynecology in Huntington Station, NY

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
180 E PULASKI RD, HUNTINGTON STATION, NY 11746(631) 499-8181(631) 499-6863 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2023, Sep 9, 2021 (2 updates tracked since 2021).

About Gloria M Escamilla Md NPPES

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

GLORIA M ESCAMILLA MD (NPI 1114991924) is an individual gynecology provider in Huntington Station, New York, licensed in New York (197325) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1114991924
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameGLORIA M ESCAMILLACredential: MD
Location Address180 E PULASKI RDHuntington Station, NY 11746-1915
Mailing Address180 E Pulaski RdHuntington Station, NY 11746-1915 · (631) 499-8181 · Fax (631) 499-6863
Fax(631) 499-6863
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 16, 2006
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1114991924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NY · 197325
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedSpecialistTaxonomy 174400000X · License 197325 (NY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 197325 (NY)
180 E PULASKI RD, Huntington Station, NY 11746

Other Identifiers 13

Other3C1752NY · Healthnet/phs
Other467D11NY · Blue Cross Blue Shield
Other5140114NY · Aetna
Other160054762NY · Railroad Medicare
Other219878PNY · Great West One Health Pla
Medicaid01613143NY
Other0216038002NY · Cigna
Other197325A28NY · Health First
OtherP60054639NY · Multiplan
Other1409984NY · United Healthcare
OtherP391715NY · Oxford
Other197325NY · Hip
Other9516359NY · Ghi

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

Gloria M Escamilla 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 ID3274543780
PECOS Enrollment IDI20110420000168
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 6

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.

Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
315 services315 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.
188 services153 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
174 services174 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
110 services110 patients
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.
74 services64 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 20

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

Pediatrics
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Ophthalmology
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Midwife
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Nurse Practitioner (Adult Health)
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Internal Medicine
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Nurse Practitioner (Pediatrics)
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Physician Assistant
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Nurse Practitioner (Family)
180 E PULASKI RD
HUNTINGTON STATION, NY 11746

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 Gloria Escamilla's NPI number?

The NPI number for Gloria Escamilla is 1114991924. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Gloria Escamilla located?

Gloria Escamilla practices at 180 E Pulaski Rd, Huntington Station, NY 11746. The listed phone number is (631) 499-8181.

What is Gloria Escamilla's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Gloria Escamilla enrolled in Medicare?

Yes. Gloria Escamilla 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 Gloria Escamilla affiliated with any hospitals?

According to CMS data, Gloria Escamilla is affiliated with North Shore University Hospital, Long Island Community Hospital, John T Mather Memorial Hospital Of Port Jefferson, Good Samaritan Hospital Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Gloria Escamilla was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.