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BRIAN P ESPARZA MD
NPI 1033227574
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.33/100
CMS Quality Rating
1135 SE SALMON ST STE 101, PORTLAND, OR 97214(503) 573-8388(503) 206-8106 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian P Esparza Md NPPES

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

BRIAN P ESPARZA MD (NPI 1033227574) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD27462) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of Washington School Of Medicine (2003).

NPPES Registry Identity

NPI1033227574
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBRIAN P ESPARZACredential: MD
Location Address1135 SE SALMON ST STE 101Portland, OR 97214-2695
Mailing Address1135 Se Salmon St Ste 101Portland, OR 97214-2695 · (503) 573-8388 · Fax (503) 206-8106
Phone(503) 573-8388
Fax(503) 206-8106
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2003
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 26, 2019
✔ NPI 1033227574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in OR · MD27462✔ Licensed in WA · MD00045659
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1135 SE SALMON ST STE 101, Portland, OR 97214
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Secondary Practice Location 1

Location 110300 SW Eastridge StPortland, OR 97225-5004 · Phone (503) 944-5000

Other Identifiers 1

Medicaid274318OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Brian P Esparza 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 ID7911007984
PECOS Enrollment IDI20070705000627
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
833 services116 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
92 services83 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
80 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97214 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

90.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.66
Improvement Activities40

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 Brian Esparza's NPI number?

The NPI number for Brian Esparza is 1033227574. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Brian Esparza located?

Brian Esparza practices at 1135 SE Salmon St Ste 101, Portland, OR 97214. The listed phone number is (503) 573-8388.

What is Brian Esparza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Brian Esparza enrolled in Medicare?

Yes. Brian Esparza 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 Brian Esparza accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brian Esparza 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 Brian Esparza was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.