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

Q: 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.

Q: 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.

Q: 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 4 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.

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: October 18, 2026.

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jimmy Espinoza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians

Same address

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

Baylor College Of Medicine

0.3 mi

Family Medicine

1504 TAUB LOOP
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1053352914 (713) 873-2000

Texas Children's Physician Group

0.5 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

Baylor College Of Medicine

188 mi

Pediatrics

333 N SANTA ROSA
San Antonio, TX 78207

Reassigned Medicare billing, Texas enrollment
453 clinicians in this Medicare group

NPI 1285079764 (210) 704-3030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

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.

NATHALIE CHANG MD

Obstetrics & Gynecology