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

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: August 02, 2026.

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 Ocean 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
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

Medicare Participation & PECOS CMS

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

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.

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

Hospital Affiliations CMS Care Compare 3

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

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
Quality99.49
Improvement Activities40
Cost38.56

Other Providers at the Same Location NPPES 14

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

Urology
459 JACK MARTIN BLVD, SUITE 3
BRICK, NJ 08724
Nurse Practitioner (Family)
459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724
Anesthesiology (Pain Medicine)
459 JACK MARTIN BLVD
BRICK, NJ 08724
Ambulance (Air Transport)
459 JACK MARTIN BLVD
BRICK, NJ 08724
Family Medicine
459 JACK MARTIN BLVD, SUITE 1
BRICK, NJ 08724
Surgery (Surgical Oncology)
459 JACK MARTIN BLVD, SUITE 5A
BRICK, NJ 08724
Family Medicine
459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724
Surgery (Surgical Oncology)
459 JACK MARTIN BLVD, SUITE 5A
BRICK, NJ 08724

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.

Is Pedro Escandon affiliated with any hospitals?

According to CMS data, Pedro Escandon is affiliated with 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.