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ERIC A ESPINAL M.D.
NPI 1053386581
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Akron, OH

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
75 ARCH ST, SUITE 407, AKRON, OH 44304(330) 384-9001(330) 384-9002 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric A Espinal M.d. NPPES

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

ERIC A ESPINAL M.D. (NPI 1053386581) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Akron, Ohio, licensed in Ohio (35.076683) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Northeastern Ohio University College Of Medicine (1992).

NPPES Registry Identity

NPI1053386581
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameERIC A ESPINALCredential: M.D.
Location Address75 ARCH ST, SUITE 407Akron, OH 44304-1429
Mailing Address75 Arch St, Suite 407Akron, OH 44304-1429 · (330) 384-9001 · Fax (330) 384-9002
Phone(330) 384-9001
Fax(330) 384-9002
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1992
Enumeration DateFebruary 20, 2006
Last NPPES UpdateDecember 30, 2011
✔ NPI 1053386581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in OH · 35.076683
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
75 ARCH ST, Akron, OH 44304
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH01476
Medicaid2135013OH
OtherES0888005OH · Medicare Id
OtherES0888001OH · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Eric A Espinal M.d. 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 ID5991607756
PECOS Enrollment IDI20040127000859
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
6%100 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%60 patients1/55-star benchmark: 100%
Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
100%66 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
18%100 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%109 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%83 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
25%40 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ROBERT DANIEL CEVASCO JR. M.D.
Family Medicine (Hospice and Palliative Medicine)
75 ARCH ST, STE G2
AKRON, OH 44304
Summit County (330) 375-4100
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES OF AKRON INC
Obstetrics & Gynecology
75 ARCH ST, STE 401
AKRON, OH 44304
Summit County (330) 535-2689
CARDIOTHORACIC CONSULTANTS LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
75 ARCH ST, SUITE 407
AKRON, OH 44304
Summit County (330) 384-9001
ALLISON M HESSE CNP
Nurse Practitioner (Adult Health)
75 ARCH ST, STE G2
AKRON, OH 44304
Summit County (330) 375-4100
PAUL TERRY TSIVITSE MD
Internal Medicine (Pulmonary Disease)
75 ARCH ST, SUITE 206
AKRON, OH 44304
Summit County (330) 535-1510
OMAR ZMEILI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
75 ARCH ST, 301
AKRON, OH 44304
Summit County (330) 253-1899
DR. JAMES K SALEM M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
75 ARCH ST, SUITE 301
AKRON, OH 44304
Summit County (330) 434-9121
STACIE D SCHREINER C.N.P.
Nurse Practitioner
75 ARCH ST, SUITE G2
AKRON, OH 44304
Summit County (330) 375-4100

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 Eric Espinal's NPI number?

The NPI number for Eric Espinal is 1053386581. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Eric Espinal located?

Eric Espinal practices at 75 Arch St Suite 407, Akron, OH 44304. The listed phone number is (330) 384-9001.

What is Eric Espinal's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Eric Espinal enrolled in Medicare?

Yes. Eric Espinal 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 Eric Espinal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 2 other insurers list Eric Espinal 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 Eric Espinal affiliated with any hospitals?

According to CMS data, Eric Espinal is affiliated with Summa Health System and Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for Eric Espinal was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.