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DR. GEMMA DEGUZMAN ESPEJO M.D.
NPI 1164837035
Psychiatry & Neurology - Psychiatry in Orange, CA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3800 W CHAPMAN AVE STE 500, ORANGE, CA 92868(714) 456-5902 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2023, Nov 14, 2022 (2 updates tracked since 2022).

About Dr. Gemma Deguzman Espejo M.d. NPPES

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

DR. GEMMA DEGUZMAN ESPEJO M.D. (NPI 1164837035) is an individual psychiatry provider in Orange, California, licensed in California (A180296) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2014).

NPPES Registry Identity

NPI1164837035
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GEMMA DEGUZMAN ESPEJOCredential: M.D.
Location Address3800 W CHAPMAN AVE STE 500Orange, CA 92868-1638
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Phone(714) 456-5902
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1164837035 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 CA · A180296✔ Licensed in MO · 2014018192
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.
3800 W CHAPMAN AVE STE 500, Orange, CA 92868
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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

Dr. Gemma Deguzman Espejo 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 ID5698995041
PECOS Enrollment IDI20220913001282
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 7

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
201 services11 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.
136 services25 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.
88 services59 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.
41 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

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.

DR. CHRISTY ALHANNAT MD
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (949) 824-5388
JAMES ZHANG
Psychiatry & Neurology (Psychiatry)
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (714) 456-5902
MEHRON SINGH DHILLON MD
Psychiatry & Neurology (Psychiatry)
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (714) 456-5902
AUSTIN BUCK
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (615) 927-5233
MONICA NGUYEN NGO MD
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (714) 456-5770
DR. JOHN LUO MD
Psychiatry & Neurology (Psychiatry)
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (714) 456-5902
DANIELLE LIU
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (714) 456-5902
NATHAN CHAN RIM
Student in an Organized Health Care Education/Training Program
3800 W CHAPMAN AVE STE 500
ORANGE, CA 92868
Orange County (714) 456-5770

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 Gemma Espejo's NPI number?

The NPI number for Gemma Espejo is 1164837035. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Gemma Espejo located?

Gemma Espejo practices at 3800 W Chapman Ave Ste 500, Orange, CA 92868. The listed phone number is (714) 456-5902.

What is Gemma Espejo's specialty?

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

Is Gemma Espejo enrolled in Medicare?

Yes. Gemma Espejo 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.

When was this NPI record last updated?

The NPPES record for Gemma Espejo was last updated on February 7, 2023. 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.