DR. DAVID ESCALANTE MD
NPI 1427096551
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jellico, TN
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 Manchester Memorial Hospital, and maintains a secondary practice location in Mount Vernon.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show David Escalante reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jellico, TN 37762
- Reassigned Medicare billing, Tennessee enrollment
- 3 clinicians in this Medicare group
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 123 clinicians in this Medicare group
Knoxville, TN 37917
- Reassigned Medicare billing, Tennessee enrollment
- 147 clinicians in this Medicare group
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 247 clinicians in this Medicare group
Mount Vernon, KY 40456
- Reassigned Medicare billing, Kentucky enrollment
- 54 clinicians in this Medicare group
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 75 clinicians in this Medicare group
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Manchester Memorial Hospital
Acute Care Hospitals · Manchester, KYBaptist Health Corbin
Acute Care Hospitals · Corbin, KYRockcastle County Hospital, Inc.
Acute Care Hospitals · Mount Vernon, KYPhysicians Regional Medical Center
Acute Care Hospitals · Powell, TNPhysician 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for David Escalante's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Escalante reassigns Medicare benefits to 8 organizations: Appalachia Health Services (Jellico, TN), Memorial Hospital Inc (London, KY), Knoxville Hma Physician Management, LLC (Knoxville, TN), Ephraim Mcdowell Health Resource, Inc. (Somerset, KY), Rockcastle County Hospital, Inc. (Mount Vernon, KY) and 3 more organizations, listed in the Medicare section above. 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 David Escalante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Escalante accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers 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 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 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.
# Dr. David Escalante, MD · NPI 1427096551
Endocrinology, Diabetes & Metabolism physician in Jellico, Tennessee. Individual provider, active in the CMS NPPES registry since June 2, 2006.
## Identity
- **NPI:** 1427096551 (Entity type: Individual)
- **Enumerated:** June 2, 2006
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 25677 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 292 N MAIN ST, Jellico, TN 37762-2132
- **Phone:** (423) 784-3600 · **Fax:** (423) 784-4602
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Appalachia Health Services (NPI 1568542009, Jellico, TN); Memorial Hospital Inc (NPI 1477184968, London, KY); Knoxville Hma Physician Management, LLC (NPI 1629356969, Knoxville, TN); Ephraim Mcdowell Health Resource, Inc. (NPI 1528911609, Somerset, KY); Rockcastle County Hospital, Inc. (NPI 1104890714, Mount Vernon, KY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** March 22, 2023
- **Other identifiers:** Medicaid 100010513 (TN); Medicaid 3117289 (TN); Medicaid 64920259 (KY); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1427096551) · Data from the CMS NPPES public registry.