DR. TANYA JANE CABUCO ESCALONA MD
NPI 1881959260
Internal Medicine in Rochester, NY

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
1425 PORTLAND AVENUE, ROCHESTER, NY 14621(585) 922-4829 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tanya Jane Cabuco Escalona Md NPPES

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

DR. TANYA JANE CABUCO ESCALONA MD (NPI 1881959260) is an individual internal medicine provider in Rochester, New York, licensed in Ohio (35.125888) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1881959260
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TANYA JANE CABUCO ESCALONACredential: MD
Location Address1425 PORTLAND AVENUERochester, NY 14621-3095
Mailing Address1425 Portland AvenueRochester, NY 14621-3095 · (585) 922-4829
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 11, 2012
Last NPPES UpdateApril 24, 2015
NPI 1881959260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.125888
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1425 PORTLAND AVENUE, Rochester, NY 14621

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. Tanya Jane Cabuco Escalona 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 ID8729307632
PECOS Enrollment IDI20150427001722
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
325 services306 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
45 services45 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients
Initial hospital observation care per day, typically 50 minutes 99219
Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.
17 services17 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.55
Improvement Activities40
Cost60.73

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$21.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$119.18 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 20

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

Surgery
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Pharmacist
1425 PORTLAND AVENUE, ROCHESTER GENERAL HOSPITAL, INPATIENT PHARMACY
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1425 PORTLAND AVENUE, ROCHESTER GENERAL HOSPITAL
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Nurse Anesthetist, Certified Registered
1425 PORTLAND AVENUE, ROCHESTER GENERAL HOSPITAL
ROCHESTER, NY 14621
Radiology (Radiation Oncology)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Internal Medicine (Pulmonary Disease)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881959260, enumerated as an "individual" on July 11, 2012.

The provider is located at 1425 PORTLAND AVENUE ROCHESTER, NY 14621 and the phone number is (585) 922-4829.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Tanya Jane Escalona is affiliated with: KING'S DAUGHTERS' MEDICAL CENTER, SOUTHERN OHIO MEDICAL CENTER and KINGS DAUGHTERS MEDICAL CENTER OHIO.