MR. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C
NPI 1922406222
Physician Assistant in Mankato, MN

Active since December 18, 2014PECOS EnrolledAccepts Medicare Assignment
101 MARTIN LUTHER KING DR, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Feb 1, 2021 (2 updates tracked since 2021).

About Mr. Luis Santiago Escobar Acevedo Pa-c NPPES

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

MR. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C (NPI 1922406222) is an individual physician assistant in Mankato, Minnesota, licensed in Minnesota (11704) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1922406222
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LUIS SANTIAGO ESCOBAR ACEVEDOCredential: PA-C
Location Address101 MARTIN LUTHER KING DRMankato, MN 56001-6460
Mailing Address101 Martin Luther King DrMankato, MN 56001-6460 · (507) 625-4031
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 18, 2014
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
NPI 1922406222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 11704
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 MARTIN LUTHER KING DR, Mankato, MN 56001

Other Names 1

Other Name (5)Mr. Luis Santiago Escobar

Secondary Practice Locations 2

Location 1301 2nd St NENew Prague, MN 56071-1709 · Phone (952) 758-4431
Location 21101 Moulton and Parsons DrSaint James, MN 56081-5550 · Phone (507) 375-3261

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

Mr. Luis Santiago Escobar Acevedo Pa-c 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 ID446575500
PECOS Enrollment IDI20150211002421
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers21 claims56 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$0.93 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
3 suppliers18 claims18 services$112.79 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.

Family Medicine
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Family Medicine
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Family Medicine
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Social Worker (Clinical)
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Family Medicine
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Nurse Practitioner (Family)
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Family Medicine
101 MARTIN LUTHER KING DR
MANKATO, MN 56001
Family Medicine
101 MARTIN LUTHER KING DR
MANKATO, MN 56001

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 Luis Escobar Acevedo's NPI number?

The NPI number for Luis Escobar Acevedo is 1922406222. It was assigned to this individual provider in the NPPES registry on December 18, 2014. The provider is also known as Mr. Luis Santiago Escobar.

Where is Luis Escobar Acevedo located?

Luis Escobar Acevedo practices at 101 Martin Luther King Dr, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Luis Escobar Acevedo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Luis Escobar Acevedo enrolled in Medicare?

Yes. Luis Escobar Acevedo 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 Luis Escobar Acevedo accept?

Health plans from Medica and Sanford Health Plan list Luis Escobar Acevedo 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.

When was this NPI record last updated?

The NPPES record for Luis Escobar Acevedo was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.