ALBERTO ESPAY MD
NPI 1023057940
Psychiatry & Neurology - Neurology in Cincinnati, OH

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
222 PIEDMONT AVE, SUITE 3200, CINCINNATI, OH 45219(513) 475-8730(513) 475-8033 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alberto Espay Md NPPES

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

ALBERTO ESPAY MD (NPI 1023057940) is an individual neurology provider in Cincinnati, Ohio, licensed in Ohio (35086158) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1023057940
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameALBERTO ESPAYCredential: MD
Location Address222 PIEDMONT AVE, SUITE 3200Cincinnati, OH 45219
Mailing Address222 Piedmont Ave, Suite 3200Cincinnati, OH 45219 · (513) 475-8730 · Fax (513) 475-8033
Fax(513) 475-8033
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 1, 2008
NPI 1023057940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OH · 35086158
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
222 PIEDMONT AVE, Cincinnati, OH 45219

Other Identifiers 4

Medicaid2578456OH
OtherP00245087OH · Medicare Railroad
Medicare ID-Type UnspecifiedES4155291OH
Medicare UPINH72436OH

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

Alberto Espay 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 ID1456393347
PECOS Enrollment IDI20050601001042, I20051031000599
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 5

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 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.
266 services228 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 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.
42 services42 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
31 services13 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
29 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims52 services$16.94 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims532 services$31.66 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
2 suppliers27 claims784 services$167.58 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.

Speech-Language Pathologist
222 PIEDMONT AVE
CINCINNATI, OH 45219
Allergy & Immunology (Clinical & Laboratory Immunology)
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Nurse Practitioner (Gerontology)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Nurse Practitioner (Adult Health)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Licensed Practical Nurse
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Nurse Practitioner (Family)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Internal Medicine
222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219
Physician Assistant (Surgical)
222 PIEDMONT AVE, SUITE 2200
CINCINNATI, OH 45219

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 Alberto Espay's NPI number?

The NPI number for Alberto Espay is 1023057940. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Alberto Espay located?

Alberto Espay practices at 222 Piedmont Ave Suite 3200, Cincinnati, OH 45219. The listed phone number is (513) 475-8730.

What is Alberto Espay's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Alberto Espay enrolled in Medicare?

Yes. Alberto Espay 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 Alberto Espay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Alberto Espay 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 Alberto Espay affiliated with any hospitals?

According to CMS data, Alberto Espay is affiliated with University Of Cincinnati Medical Center, LLC, Mercy Health - Fairfield Hospital, Kettering Health Main Campus and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Alberto Espay was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.