CARLOS ALBERTO ESPINOZA M.D.
NPI 1073827176
Internal Medicine - Cardiovascular Disease in Rocky Mount, NC

Active since July 30, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804(252) 962-8076 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos Alberto Espinoza M.d. NPPES

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

CARLOS ALBERTO ESPINOZA M.D. (NPI 1073827176) is an individual cardiovascular disease provider in Rocky Mount, North Carolina, licensed in North Carolina (2017-01105) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073827176
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCARLOS ALBERTO ESPINOZACredential: M.D.
Location Address2460 CURTIS ELLIS DRRocky Mount, NC 27804-2237
Mailing Address211 Friday Center Dr Ste 2057Chapel Hill, NC 27517-9499 · (984) 974-1263
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 30, 2010
Last NPPES UpdateOctober 4, 2019
NPI 1073827176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 2017-01105
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2460 CURTIS ELLIS DR, Rocky Mount, NC 27804

Secondary Practice Locations 3

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-3229 · Fax (252) 744-3924
Location 22460 Curtis Ellis Dr Bldg 100Rocky Mount, NC 27804-2237 · Phone (252) 962-2328
Location 3901 N Winstead Ave Ste 430Rocky Mount, NC 27804-8467 · Phone (252) 962-6300

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

Carlos Alberto Espinoza 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 ID7113217639
PECOS Enrollment IDI20180517002156
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 20

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
200 services199 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services99 patients
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.
92 services78 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
51 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services50 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Nurse Anesthetist, Certified Registered
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Specialist
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Anesthesiology
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Psychiatry & Neurology (Neurology)
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Emergency Medicine
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Physical Therapist
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Neurological Surgery
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804
Registered Nurse (Lactation Consultant)
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804

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 Carlos Espinoza's NPI number?

The NPI number for Carlos Espinoza is 1073827176. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Where is Carlos Espinoza located?

Carlos Espinoza practices at 2460 Curtis Ellis Dr, Rocky Mount, NC 27804. The listed phone number is (252) 962-8076.

What is Carlos Espinoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Carlos Espinoza enrolled in Medicare?

Yes. Carlos 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.

What insurance does Carlos Espinoza accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Carlos 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 Carlos Espinoza affiliated with any hospitals?

According to CMS data, Carlos Espinoza is affiliated with Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Carlos Espinoza was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.