DR. DAVID ESCALANTE MD
NPI 1427096551
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jellico, TN

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
292 N MAIN ST, JELLICO, TN 37762(423) 784-3600(423) 784-4602 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Escalante Md NPPES

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

DR. DAVID ESCALANTE MD (NPI 1427096551) is an individual endocrinology, diabetes & metabolism provider in Jellico, Tennessee, licensed in Tennessee (25677) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains a secondary practice location in Mount Vernon.

NPPES Registry Identity

NPI1427096551
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. DAVID ESCALANTECredential: MD
Location Address292 N MAIN STJellico, TN 37762-2132
Mailing Address292 N Main StJellico, TN 37762-2132 · (423) 784-3600 · Fax (423) 784-4602
Fax(423) 784-4602
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1427096551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in TN · 25677 Licensed in KY · 30671
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 25677 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License MD0000025677 (TN)
292 N MAIN ST, Jellico, TN 37762

Secondary Practice Location 1

Location 1140 Newcomb AveMount Vernon, KY 40456-2725 · Phone (606) 256-4148

Other Identifiers 9

Medicaid100010513TN
Medicaid3117289TN
Medicaid64920259KY
Other0200243TN · Bcbst
Medicaid3088412TN
Medicaid3088416TN
Other4102780TN · Bcbs Of Tn
MedicaidTN0102TN
OtherTN0102TN · Commercial

Accepted 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

Dr. David Escalante 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 ID5991600678
PECOS Enrollment IDI20040205000852, I20080516000161
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.

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180115
Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37762 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers30 claims337 services$16.02 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers25 claims685 services$1.91 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims17 services$131.71 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers88 claims232 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers27 claims46 services$1.13 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers12 claims12 services$329.03 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

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

Internal Medicine
292 N MAIN ST
JELLICO, TN 37762

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 David Escalante's NPI number?

The NPI number for David Escalante is 1427096551. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is David Escalante located?

David Escalante practices at 292 N Main St, Jellico, TN 37762. The listed phone number is (423) 784-3600.

What is David Escalante's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is David Escalante enrolled in Medicare?

Yes. David Escalante 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 David Escalante accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BlueCross BlueShield of Tennessee and 1 other insurer list David Escalante 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 David Escalante affiliated with any hospitals?

According to CMS data, David Escalante is affiliated with Saint Joseph London, Manchester Memorial Hospital, Baptist Health Corbin, Rockcastle County Hospital, Inc. and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Escalante was last updated on March 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.