DR. ARTURO ERNESTO ESPINAL MD
Accepted Insurance for NPI 1184715708
Family Medicine in Miami, FL

Active since September 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1034934 · Waiver
10326 W FLAGLER ST, MIAMI, FL 33174(305) 221-7948(305) 228-5803 Get Directions

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Does Dr. Espinal take my insurance?

Oscar Health includes Dr. Espinal in 56 Florida plans sold on HealthCare.gov for 2027.

Call before you book: insurer directories can be out of date, so call the office at (305) 221-7948 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Florida Medicaid ID; ask the office which Medicaid plans it takes.

56 plans · 2027 plan year

Florida plans 56 plans

Plans sold to Florida residents. Costs are for the standard version of each plan.

Oscar Health

56 plans · HMO
Accepting new patients
Individual Florida Standard network · 42 plans · Preferred tier
Gold BasicNetwork tier: PreferredHMOGold$021525FL0020035View details
Gold Basic | with AdventHealthNetwork tier: PreferredHMOGold$021525FL0010071View details
Gold Simple DiabetesNetwork tier: PreferredHMOGold$2,00021525FL0020020View details
Gold SImple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOGold$2,00021525FL0020032View details
Gold Simple Diabetes | with AdventHealthNetwork tier: PreferredHMOGold$2,00021525FL0010036View details
Gold Classic StandardNetwork tier: PreferredHMOGold$2,50021525FL0020015View details
Gold Classic Standard | with AdventHealthNetwork tier: PreferredHMOGold$2,50021525FL0010020View details
Gold Simple with Adult Dental & Vision | with AdventHealthNetwork tier: PreferredHMOGold$2,75021525FL0010051View details
Gold Simple | with AdventHealthNetwork tier: PreferredHMOGold$2,75021525FL0010023View details
Silver Simple PCP SaverNetwork tier: PreferredHMOSilver$5,75021525FL0020012View details
Silver Simple PCP Saver | with AdventHealthNetwork tier: PreferredHMOSilver$5,75021525FL0010016View details
Silver Simple Women's Health with Menopause BenefitsNetwork tier: PreferredHMOSilver$6,00021525FL0020013View details
Silver Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOSilver$6,20021525FL0020009View details
Silver Classic StandardNetwork tier: PreferredHMOSilver$6,40021525FL0020007View details
Silver Classic Standard | with AdventHealthNetwork tier: PreferredHMOSilver$6,40021525FL0010010View details
Silver Simple Chronic Care CKMNetwork tier: PreferredHMOSilver$6,50021525FL0020010View details
Silver Simple Chronic Care CKM | with AdventHealthNetwork tier: PreferredHMOSilver$6,50021525FL0010014View details
Silver Simple DiabetesNetwork tier: PreferredHMOSilver$6,50021525FL0020011View details
Silver Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOSilver$6,50021525FL0020031View details
Silver Simple Diabetes | with AdventHealthNetwork tier: PreferredHMOSilver$6,50021525FL0010015View details
Silver Core PlanNetwork tier: PreferredHMOSilver$9,00021525FL0020018View details
Silver Core Plan | with AdventHealthNetwork tier: PreferredHMOSilver$9,00021525FL0010034View details
Bronze Elite + PCP Saver PlusNetwork tier: PreferredHMOExpanded Bronze$021525FL0020003View details
Bronze Elite + PCP Saver Plus with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$021525FL0020024View details
Bronze Elite + PCP Saver Plus | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$021525FL0010005View details
Bronze Classic 4700Network tier: PreferredHMOExpanded Bronze$4,70021525FL0020002View details
Bronze Classic 4700 | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$4,70021525FL0010004View details
Bronze Simple Chronic Care CKMNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0020005View details
Bronze Simple Chronic Care CKM | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010028View details
Bronze Simple DiabetesNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0020006View details
Bronze Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0020029View details
Bronze Simple Diabetes with Adult Dental & Vision | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010054View details
Bronze Simple Diabetes | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010029View details
Bronze Classic StandardNetwork tier: PreferredHMOExpanded Bronze$7,50021525FL0020001View details
Bronze Classic Standard | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$7,50021525FL0010002View details
Bronze Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOExpanded Bronze$9,00021525FL0020004View details
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with AdventHealthNetwork tier: PreferredHMOExpanded Bronze$9,00021525FL0010006View details
Individual Florida HMO Broad network · 14 plans · Preferred tier
Gold Simple DiabetesNetwork tier: PreferredHMOGold$2,00021525FL0010025View details
Gold Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOGold$2,00021525FL0010068View details
Gold Classic StandardNetwork tier: PreferredHMOGold$2,50021525FL0010019View details
Silver Simple Women's Health with Menopause BenefitsNetwork tier: PreferredHMOSilver$6,00021525FL0010017View details
Silver Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOSilver$6,20021525FL0010013View details
Silver Classic StandardNetwork tier: PreferredHMOSilver$6,40021525FL0010009View details
Silver Simple Chronic Care CKMNetwork tier: PreferredHMOSilver$6,50021525FL0010043View details
Silver Simple DiabetesNetwork tier: PreferredHMOSilver$6,50021525FL0010044View details
Silver Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOSilver$6,50021525FL0010067View details
Bronze Simple Chronic Care CKMNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010007View details
Bronze Simple DiabetesNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010008View details
Bronze Simple Diabetes with Adult Dental & VisionNetwork tier: PreferredHMOExpanded Bronze$5,50021525FL0010065View details
Bronze Classic StandardNetwork tier: PreferredHMOExpanded Bronze$7,50021525FL0010001View details
Bronze Simple Breathe Easy with Enhanced COPD BenefitsNetwork tier: PreferredHMOExpanded Bronze$9,00021525FL0010027View details

Questions about Dr. Espinal’s insurance

Does Dr. Espinal take Oscar Health?

For Florida Marketplace plans, yes: Oscar Health includes Dr. Espinal in 56 plans for 2027. Call the office at (305) 221-7948 to confirm your plan before booking.

Is Dr. Espinal accepting new patients?

The insurers that list Dr. Espinal report that Dr. Espinal is accepting new patients. Call the office at (305) 221-7948 to confirm your plan before booking.

Do I need a referral to see Dr. Espinal?

Not under the Florida plans that list Dr. Espinal: the 2027 plan files say a specialist referral is not required.

Does Dr. Espinal accept Medicare?

Yes. CMS files show Dr. Espinal accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Oscar Health: Nov 5, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2027, Oct 20, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.