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EDWIN ENRIQUE ESCORCIA DE LEON M.D.
NPI 1215313663
Internal Medicine in Montgomery, AL

Active since August 08, 2015PECOS EnrolledAccepts Medicare Assignment
2055 E SOUTH BLVD, SUITE 200, MONTGOMERY, AL 36116(334) 551-2033 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin Enrique Escorcia De Leon M.d. NPPES

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

EDWIN ENRIQUE ESCORCIA DE LEON M.D. (NPI 1215313663) is an individual internal medicine provider in Montgomery, Alabama, licensed in Alabama (37189) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215313663
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWIN ENRIQUE ESCORCIA DE LEONCredential: M.D.
Location Address2055 E SOUTH BLVD, SUITE 200Montgomery, AL 36116
Mailing Address2055 E South Blvd, Suite 200Montgomery, AL 36116-2001 · (334) 551-2033
Phone(334) 551-2033
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 8, 2015
Last NPPES UpdateJuly 2, 2018
✔ NPI 1215313663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 37189
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2055 E SOUTH BLVD, Montgomery, AL 36116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

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

Edwin Enrique Escorcia De Leon M.d. 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 ID4183926157
PECOS Enrollment IDI20181010003789
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
245 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
171 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%85 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers25 claims25 services$16.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$91.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEAGHAN BAXLEY CRNP
Nurse Practitioner (Family)
2055 E SOUTH BLVD, SUITE 601
MONTGOMERY, AL 36116
Montgomery County (334) 747-2999
NANDINI YASHWANTI RAMROOP M.D.
Family Medicine
2055 E SOUTH BLVD, SUITE 308
MONTGOMERY, AL 36116
Montgomery County (334) 286-2390
SOUTHEASTERN CARDIOLOGY CONSULTANTS
Specialist
2055 E SOUTH BLVD, SUITE 403
MONTGOMERY, AL 36116
Montgomery County (334) 613-0807
ALABAMA GYNECOLOGY ASSOCIATES
Obstetrics & Gynecology
2055 E SOUTH BLVD, SUITE 712
MONTGOMERY, AL 36116
Montgomery County (334) 288-1950
TASNEEM SAFA ASHRAFI
Student in an Organized Health Care Education/Training Program
2055 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 551-2012
DR. RICHARD LEE MULLINS JR. MD
Surgery (Surgical Critical Care)
2055 E SOUTH BLVD, SUITE 601
MONTGOMERY, AL 36116
Montgomery County (334) 747-2999
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Internal Medicine
2055 E SOUTH BLVD, SUITE 202
MONTGOMERY, AL 36116
Montgomery County (334) 284-5211
DR. SESI OGUNBI MD LLC
Specialist
2055 E SOUTH BLVD, SUITE 410
MONTGOMERY, AL 36116
Montgomery County (334) 288-6882

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 Edwin Escorcia De Leon's NPI number?

The NPI number for Edwin Escorcia De Leon is 1215313663. It was assigned to this individual provider in the NPPES registry on August 8, 2015.

Where is Edwin Escorcia De Leon located?

Edwin Escorcia De Leon practices at 2055 E South Blvd Suite 200, Montgomery, AL 36116. The listed phone number is (334) 551-2033.

What is Edwin Escorcia De Leon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Escorcia De Leon enrolled in Medicare?

Yes. Edwin Escorcia De Leon 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.

What insurance does Edwin Escorcia De Leon accept?

Health plans from Blue Cross and Blue Shield of Alabama list Edwin Escorcia De Leon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwin Escorcia De Leon was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.