Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMENIQUE ESCOBAR MD
NPI 1659875847
Urology in Portland, OR

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
10000 SE MAIN ST, PORTLAND, OR 97216(503) 346-1500 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Aug 23, 2024, Jul 29, 2019 and 1 more (4 updates tracked since 2018).

About Domenique Escobar Md NPPES

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

DOMENIQUE ESCOBAR MD (NPI 1659875847) is an individual urology provider in Portland, Oregon, licensed in Oregon (MD231155) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1659875847
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDOMENIQUE ESCOBARCredential: MD
Location Address10000 SE MAIN STPortland, OR 97216-2448
Mailing Address10000 Se Main StPortland, OR 97216-2448 · (503) 346-1500
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1659875847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OR · MD231155
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10000 SE MAIN ST, Portland, OR 97216

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

Domenique Escobar 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 ID3971835661
PECOS Enrollment IDI20240508001825
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

2

Medicare enrollment records show Domenique Escobar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

Orthopaedic Surgery
10000 SE MAIN ST, SUITE 128
PORTLAND, OR 97216
Family Medicine
10000 SE MAIN ST, SUITE 302
PORTLAND, OR 97216
Surgery
10000 SE MAIN ST, SUITE 316
PORTLAND, OR 97216
Pediatrics
10000 SE MAIN ST, SUITE 105
PORTLAND, OR 97216
Surgery
10000 SE MAIN ST, SUITE 316
PORTLAND, OR 97216
Pediatrics
10000 SE MAIN ST, SUITE 105
PORTLAND, OR 97216
Orthopaedic Surgery
10000 SE MAIN ST, SUITE 224
PORTLAND, OR 97216
Physician Assistant (Medical)
10000 SE MAIN ST, SUITE 112
PORTLAND, OR 97216

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 Domenique Escobar's NPI number?

The NPI number for Domenique Escobar is 1659875847. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Domenique Escobar located?

Domenique Escobar practices at 10000 SE Main St, Portland, OR 97216. The listed phone number is (503) 346-1500.

What is Domenique Escobar's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Domenique Escobar enrolled in Medicare?

Yes. Domenique Escobar 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 Domenique Escobar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Domenique Escobar reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Usc Care Medical Group, Inc (Los Angeles, CA). 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 Domenique Escobar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Domenique Escobar was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.