PEDRO J ESCANDON M.D.
NPI 1215917737
Internal Medicine - Interventional Cardiology in Brick, NJ

Q: What is Pedro Escandon's NPI number?

The NPI number for Pedro Escandon is 1215917737. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Pedro Escandon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Escandon was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 19, 2006PECOS Enrolled

81.36/100

CMS Quality Rating

459 JACK MARTIN BLVD, STE 4, BRICK, NJ 08724(732) 458-6200(732) 458-9464 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Pedro J Escandon M.d. NPPES

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

PEDRO J ESCANDON M.D. (NPI 1215917737) is an individual interventional cardiology provider in Brick, New Jersey, licensed in New Jersey (MA61878) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1988).

NPPES Registry Identity

NPI1215917737

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NamePEDRO J ESCANDONCredential: M.D.

Location Address459 JACK MARTIN BLVD, STE 4Brick, NJ 08724-7724

Mailing Address459 Jack Martin Blvd Ste 2Brick, NJ 08724-7724 · (732) 458-6200 · Fax (732) 458-9464

Phone(732) 458-6200

Fax(732) 458-9464

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1988

Enumeration DateJanuary 19, 2006

Last NPPES UpdateMay 1, 2023

NPPES CertifiedMay 1, 2023

✔ NPI 1215917737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in NJ · MA61878

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MA61878 (NJ)

459 JACK MARTIN BLVD, Brick, NJ 08724

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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 (PECOS)

Pedro J Escandon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345295895

PECOS Enrollment IDI20050317000131

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 Reassignments

Medicare enrollment records show Pedro Escandon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Cardiovascular Consultants, PA

Same address

Cardiovascular Disease

459 JACK MARTIN BLVD STE 2
Brick, NJ 08724

Reassigned Medicare billing, New Jersey enrollment
7 clinicians in this Medicare group

NPI 1669452199 (732) 458-6200

Meridian Cardiovascular Interpretive Services PC

16 mi

Cardiovascular Disease

3600 ROUTE 66 FL 3
Neptune, NJ 07753

Reassigned Medicare billing, New Jersey enrollment
101 clinicians in this Medicare group

NPI 1548310576 (732) 807-0800

Ea Health - New Jersey LLC

19 mi

Emergency Medicine

1 RIVERVIEW PLZ
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
95 clinicians in this Medicare group

NPI 1063186641 (732) 741-2700

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 17

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,910 services1,522 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.

1,117 services625 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

1,101 services650 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

398 services12 patients

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.

358 services142 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

253 services252 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.

110 services73 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.

82 services78 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

75 services75 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.

52 services52 patients

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

25 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services21 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.

22 services15 patients

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93241

This procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.

20 services20 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.

19 services19 patients

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

18 services16 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310111

Location901 West Main StreetFreehold, NJ 07728 · Monmouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

81.36/100

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

Scored as part of a group practice

Quality

99.49

Improvement Activities

Cost

38.56

Other Providers at the Same Location NPPES 15

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

ANDREW L. SIMON M.D., F.A.C.S, P.A.

Urology

459 JACK MARTIN BLVD, SUITE 3
BRICK, NJ 08724

Ocean County (732) 840-0900

PATRICIA MESSINA FNP-BC

Nurse Practitioner (Family)

459 JACK MARTIN BLVD
BRICK, NJ 08724

Ocean County (732) 458-6200

SUSAN EILEEN BOGGS NP

Nurse Practitioner (Family)

459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724

Ocean County (732) 785-1000

COASTAL BACK AND PAIN INSTITUTE

Anesthesiology (Pain Medicine)

459 JACK MARTIN BLVD
BRICK, NJ 08724

Ocean County (732) 747-7077

ROCKY MOUNTAIN HOLDINGS, LLC

Ambulance (Air Transport)

459 JACK MARTIN BLVD
BRICK, NJ 08724

Ocean County (888) 636-4438

TOTAL PATIENT CARE LLC

Family Medicine

459 JACK MARTIN BLVD, SUITE 1
BRICK, NJ 08724

Ocean County (732) 785-1000

THEODORE B. LYGAS M.D.

Surgery (Surgical Oncology)

459 JACK MARTIN BLVD, SUITE 5A
BRICK, NJ 08724

Ocean County (732) 458-4600

ASIM HAIDER GILANI MD

Family Medicine

459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724

Ocean County (732) 785-1000

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 Pedro Escandon's NPI number?

The NPI number for Pedro Escandon is 1215917737. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Pedro Escandon located?

Pedro Escandon practices at 459 Jack Martin Blvd Ste 4, Brick, NJ 08724. The listed phone number is (732) 458-6200.

What is Pedro Escandon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Pedro Escandon enrolled in Medicare?

Yes. Pedro Escandon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pedro Escandon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Escandon reassigns Medicare benefits to 3 organizations: Coastal Cardiovascular Consultants, PA (Brick, NJ), Meridian Cardiovascular Interpretive Services PC (Neptune, NJ) and Ea Health - New Jersey LLC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Escandon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Escandon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Pedro Escandon 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.

Is Pedro Escandon affiliated with any hospitals?

According to CMS data, Pedro Escandon is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Pedro Escandon was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.