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ROSEMARY ESPINOZA MD
NPI 1013940238
Obstetrics & Gynecology in Huntley, IL

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
86.72/100
CMS Quality Rating
10350 HALIGUS RD STE 120, HUNTLEY, IL 60142(815) 356-2323(847) 802-7201 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 1, 2022, Jul 11, 2016 (2 updates tracked since 2016).

About Rosemary Espinoza Md NPPES

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

ROSEMARY ESPINOZA MD (NPI 1013940238) is an individual obstetrics & gynecology provider in Huntley, Illinois, licensed in Illinois (036-100786) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Huntley.

NPPES Registry Identity

NPI1013940238
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameROSEMARY ESPINOZACredential: MD
Location Address10350 HALIGUS RD STE 120Huntley, IL 60142-9526
Mailing Address10350 Haligus Rd Ste 120Huntley, IL 60142-9526 · (815) 356-2323 · Fax (847) 802-7201
Phone(815) 356-2323
Fax(847) 802-7201
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1996
Enumeration DateJuly 9, 2006
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1013940238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036-100786
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10350 HALIGUS RD STE 120, Huntley, IL 60142
Open in Google Maps ↗

Secondary Practice Location 1

Location 110400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 356-2323 · Fax (847) 802-7201

Other Identifiers 1

Medicaid036100786IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Rosemary Espinoza 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 ID1254510118
PECOS Enrollment IDI20110124001134
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

7

Medicare enrollment records show Rosemary Espinoza reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Dupage Physician Group
30 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300
Vna Health Care
30 mi
General Practice
400 N HIGHLAND AVE
Aurora, IL 60506
  • Reassigned Medicare billing, Illinois enrollment
  • 70 clinicians in this Medicare group
NPI 1508826983 (630) 978-2532
Freeport Regional Health Care Foundation
63 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Freeport Memorial Hospital
63 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Genesis Health System
120 mi
Anatomic Pathology & Clinical Pathology
1227 E RUSHOLME ST
Davenport, IA 52803
  • Reassigned Medicare billing, Illinois enrollment
  • 143 clinicians in this Medicare group
NPI 1295196798 (563) 355-9200
Methodist Medical Center Of Illinois
121 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522
Carle Health Medical Group
144 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60142 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

86.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.48
Improvement Activities40
Cost64.04

Other Providers at the Same Location NPPES 8

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

KATHLEEN M TOURTELLOTT FNP
Nurse Practitioner
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (847) 802-7480
JILL MARIE BEHM APRN, CNP
Nurse Practitioner
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (815) 356-2323
TRACY S ARGHAVANI DO
Obstetrics & Gynecology
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (815) 338-6600
MARIANNE CATHERINE KRUPKA D.O.
Obstetrics & Gynecology (Obstetrics)
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (815) 356-2323
SARAH KHAN M.D.
Internal Medicine (Hematology & Oncology)
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (847) 802-7480
DR. SUSAN MARIE HOWEY MD
Obstetrics & Gynecology
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (815) 356-2323
KATHERINE F COSS NP
Nurse Practitioner
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (815) 356-2323
FAWWAD I ZAIDI M.D.
Internal Medicine (Hematology & Oncology)
10350 HALIGUS RD STE 120
HUNTLEY, IL 60142
McHenry County (847) 802-7480

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 Rosemary Espinoza's NPI number?

The NPI number for Rosemary Espinoza is 1013940238. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Rosemary Espinoza located?

Rosemary Espinoza practices at 10350 Haligus Rd Ste 120, Huntley, IL 60142. The listed phone number is (815) 356-2323.

What is Rosemary Espinoza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rosemary Espinoza enrolled in Medicare?

Yes. Rosemary Espinoza 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 Rosemary Espinoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosemary Espinoza reassigns Medicare benefits to 7 organizations: Central Dupage Physician Group (Carol Stream, IL), Vna Health Care (Aurora, IL), Freeport Regional Health Care Foundation (Freeport, IL), Freeport Memorial Hospital (Freeport, IL), Genesis Health System (Davenport, IA) and 2 more organizations, listed in the Medicare section above. 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 Rosemary Espinoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosemary Espinoza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Rosemary Espinoza 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.

Is Rosemary Espinoza affiliated with any hospitals?

According to CMS data, Rosemary Espinoza is affiliated with Northwestern Medicine Mchenry.

When was this NPI record last updated?

The NPPES record for Rosemary Espinoza was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.