2026 NPPES data Pediatric Gastroenterology Physician NPI 1669451530 MD
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SANDRA ESCALERA, MD

Pediatric Gastroenterology Physician in NEW HAVEN, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
11
Medicare Part D claims · Pediatric Gastroenterology Physician avg: 69
Generic prescribing
0%
generic claims · 100% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SANDRA ESCALERA, MD is a Pediatric Gastroenterology Physician ([object Object]) practicing in NEW HAVEN, Connecticut with a Medicare Part D prescribing footprint of 11 claims — 100% brand-name prescribing .

What stands out: SANDRA ESCALERA, MD filed 11 Medicare Part D claims in 2023 across NEW HAVEN, Connecticut. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SANDRA ESCALERA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANDRA ESCALERA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 01/10/2006

NPI 1669451530

Primary specialty

Pediatric Gastroenterology Physician

Niche

1,587 US NPIs in this specialty

Medicare Part D claims

11 84% vs specialty avg

2023 prescription claims

Specialty avg: 69

Specialty distribution in Connecticut

How Pediatric Gastroenterology Physician compares to other specialties among Connecticut providers

Connecticut providers

Pediatric Gastroenterology Physician share within Connecticut

1. Pediatric Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Gastroenterology Physician share within Connecticut

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SANDRA ESCALERA, MD is a Pediatric Gastroenterology Physician provider practicing in NEW HAVEN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1669451530. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SANDRA ESCALERA, MD appears in the CMS NPPES registry as a Pediatric Gastroenterology Physician provider holding MD credentials at 1 PARK ST, NEW HAVEN, CT, 06504, with a listed phone of (203) 785-4649. NPI 1669451530 was issued on 01/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESCALERA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend, split 100% brand-name and 0% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Gastroenterology Physician is a narrow specialty nationwide, with 1,587 enrolled providers across 50 states and an average of 69 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1 PARK ST
NEW HAVEN, CT 06504

Provider Details

NPI 1669451530
Specialty Pediatric Gastroenterology Physician
Credentials MD
Gender Female
NPI Issued 01/10/2006

Hospital and facility affiliations

Facilities where SANDRA ESCALERA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

YALE UNIVERSITY
NEW HAVEN, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

SANDRA ESCALERA, MD — brand share 100.0%
Specialty average (est.)

100% brand-name claims vs 0% generic, on 11 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

11
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19
Total Day Supply
570
Brand vs Generic
100% brand / 0% generic
Brand Drug Cost
$4K
Generic Drug Cost
$0

Patient Demographics

Average Patient Age
21.0 years
Avg HCC Risk Score
0.84

Pediatric Gastroenterology Physician Overview

How SANDRA ESCALERA, MD fits within the Pediatric Gastroenterology Physician landscape nationally.

1,587
Pediatric Gastroenterology Physician Providers in US
50
States with Pediatric Gastroenterology Physician
69
Avg Claims per Provider

SANDRA ESCALERA, MD's 11 claims are below the specialty average of 69.

Nearby Pediatric Gastroenterology Physician Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as ESCALERA.

Compare Pediatric Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANDRA ESCALERA, MD's specialty?
SANDRA ESCALERA, MD specializes in Pediatric Gastroenterology Physician and practices in NEW HAVEN, Connecticut. Credentials: MD.
How much does SANDRA ESCALERA, MD prescribe under Medicare Part D?
In 2023, SANDRA ESCALERA, MD wrote 11 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
Where is SANDRA ESCALERA, MD located?
SANDRA ESCALERA, MD is located at 1 PARK ST, NEW HAVEN, CT, 06504. Phone: (203) 785-4649.
What is SANDRA ESCALERA, MD's NPI number?
SANDRA ESCALERA, MD's National Provider Identifier (NPI) is 1669451530, issued on 01/10/2006.
Does SANDRA ESCALERA, MD prescribe more brand-name or generic drugs?
SANDRA ESCALERA, MD's prescribing is 100% brand-name and 0% generic drugs by claim count, with $4K in brand drug costs.
How many Pediatric Gastroenterology Physician providers are there in the US?
There are 1,587 Pediatric Gastroenterology Physician providers across 50 states in the US. The average Pediatric Gastroenterology Physician provider writes 69 Medicare Part D claims per year.
Does SANDRA ESCALERA, MD accept Medicare?
SANDRA ESCALERA, MD appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDRA ESCALERA, MD's credentials?
SANDRA ESCALERA, MD's NPI is 1669451530 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology