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TOVAR LEITE ESCALANTE DO
NPI 1538798459
Family Medicine in Westminster, CO

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
14300 ORCHARD PKWY FL 1, WESTMINSTER, CO 80023(303) 430-5560 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Apr 2, 2020 (2 updates tracked since 2020).

About Tovar Leite Escalante Do NPPES

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

TOVAR LEITE ESCALANTE DO (NPI 1538798459) is an individual family medicine provider in Westminster, Colorado, licensed in Georgia (95677) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Archbold Grady, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538798459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOVAR LEITE ESCALANTECredential: DO
Location Address14300 ORCHARD PKWY FL 1Westminster, CO 80023-9206
Mailing Address14300 Orchard Pkwy Fl 1Westminster, CO 80023-9206 · (303) 430-5560
Phone(303) 430-5560
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1538798459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 95677✔ Licensed in CO · DR.0067354
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14300 ORCHARD PKWY FL 1, Westminster, CO 80023
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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

Tovar Leite Escalante Do 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 ID7214358324
PECOS Enrollment IDI20230713002658
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

3

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

Southland Consolidated Emergency Services, LLC
1,285 mi
Emergency Medicine
4 MEDICAL DR
Elberton, GA 30635
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group
NPI 1174917124 (706) 283-3151
Southland Bainbridge Hospitalist Group, LLC
1,307 mi
Hospitalist
1500 E SHOTWELL ST
Bainbridge, GA 39819
  • Reassigned Medicare billing, Georgia enrollment
  • 145 clinicians in this Medicare group
NPI 1356735336 (229) 236-0831
Southland Emergency Medical Services, L.L.C
1,338 mi
Emergency Medicine
100 E MADISON ST
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Southland Emergency Medical Services LLC
  • 68 clinicians in this Medicare group
NPI 1477701472 (229) 236-0831

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
165 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
161 services124 patients
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.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Archbold Grady

Acute Care Hospitals · Cairo, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110121
Location1155 5th Street, SECairo, GA 39828 · Grady County
Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Archbold Mitchell

Critical Access Hospitals · Camilla, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111331
Location90 E Stephens StreetCamilla, GA 31730 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80023 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

HEIDI YEN HALLAM
Family Medicine (Hospice and Palliative Medicine)
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560
TANNER ARTHUR MORRIS DO
Family Medicine
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560
JULIENNE PARAISO DO
Family Medicine
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560
DR. MASON ANDREW GEDLAMAN MD
Family Medicine
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560
ELSA JENNISON DO
Family Medicine
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (720) 627-4073
JESSICA LING CHEN DO
Student in an Organized Health Care Education/Training Program
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560
SAMANTHA HUTZLEY DO
Student in an Organized Health Care Education/Training Program
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560
EVAN ESFAHANI DO, MBA, MS
General Practice
14300 ORCHARD PKWY FL 1
WESTMINSTER, CO 80023
Adams County (303) 430-5560

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 Tovar Escalante's NPI number?

The NPI number for Tovar Escalante is 1538798459. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Tovar Escalante located?

Tovar Escalante practices at 14300 Orchard Pkwy Fl 1, Westminster, CO 80023. The listed phone number is (303) 430-5560.

What is Tovar Escalante's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tovar Escalante enrolled in Medicare?

Yes. Tovar 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 Tovar Escalante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tovar Escalante reassigns Medicare benefits to 3 organizations: Southland Consolidated Emergency Services, LLC (Elberton, GA), Southland Bainbridge Hospitalist Group, LLC (Bainbridge, GA) and Southland Emergency Medical Services, L.L.C (Thomasville, GA). 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 Tovar Escalante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tovar Escalante affiliated with any hospitals?

According to CMS data, Tovar Escalante is affiliated with Archbold Grady, Memorial Hospital And Manor and Archbold Mitchell.

When was this NPI record last updated?

The NPPES record for Tovar Escalante was last updated on August 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.