Tovar Escalante, DO
NPI 1538798459 · Family Medicine Physician · Westminster, CO
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tovar Escalante, DO is a Family Medicine Physician provider in Westminster, CO (NPI 1538798459).
Provider details
- NPI number
- 1538798459
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
345 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 165 | $168 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 161 | $116 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 19 | $8 |
Typical Medicare-allowed amounts for these services range $8–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 55 | 54 |
| Methocarbamol | 32 | 32 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 18 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 15 | — |
| Cephalexin | 15 | 15 |
| Azithromycin | 13 | 13 |
| Ondansetronbrand: Ondansetron Odt | 11 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-02
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Frequently asked questions
- What is Tovar Escalante's NPI number?
- Tovar Escalante's National Provider Identifier (NPI) is 1538798459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tovar Escalante's specialty?
- Tovar Escalante is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tovar Escalante located?
- Tovar Escalante's practice location on file with NPPES is 14300 Orchard Pkwy Fl 1, Westminster, CO 80023-9206.
- What is Tovar Escalante's phone number?
- The practice phone number listed in the NPPES registry for Tovar Escalante is (303) 430-5560.
- Does Tovar Escalante accept Medicare?
- Tovar Escalante is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tovar Escalante's NPI active?
- Yes — Tovar Escalante's NPI (1538798459) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.