JIMMY ESPINOZA M.D.
NPI 1093990392
Obstetrics & Gynecology - Maternal & Fetal Medicine in Houston, TX

Active since January 04, 2008PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST STE 350, HOUSTON, TX 77030(713) 486-6552(713) 486-6566 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy Espinoza M.d. NPPES

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

JIMMY ESPINOZA M.D. (NPI 1093990392) is an individual maternal & fetal medicine provider in Houston, Texas, licensed in Texas (Q9344) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1093990392
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameJIMMY ESPINOZACredential: M.D.
Location Address6410 FANNIN ST STE 350Houston, TX 77030-3004
Mailing Address6431 Fannin St # 3.286Houston, TX 77030-1501 · (713) 486-6552
Fax(713) 486-6566
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 4, 2008
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
NPI 1093990392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses Licensed in TX · Q9344 Licensed in TX · 000000
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4301079311 (MI)
6410 FANNIN ST STE 350, Houston, TX 77030

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

Jimmy 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 ID8628248283
PECOS Enrollment IDI20120724000383
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Advanced Practice Midwife
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030

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 Jimmy Espinoza's NPI number?

The NPI number for Jimmy Espinoza is 1093990392. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Where is Jimmy Espinoza located?

Jimmy Espinoza practices at 6410 Fannin St Ste 350, Houston, TX 77030. The listed phone number is (713) 486-6552.

What is Jimmy Espinoza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Jimmy Espinoza enrolled in Medicare?

Yes. Jimmy 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 Jimmy Espinoza accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jimmy 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.

When was this NPI record last updated?

The NPPES record for Jimmy Espinoza was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.