DR. GUILLERMO EDUARDO ESPINOZA M.D.
NPI 1194081042
Internal Medicine in Sitka, AK
About Dr. Guillermo Eduardo Espinoza M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GUILLERMO EDUARDO ESPINOZA M.D. (NPI 1194081042) is an individual internal medicine provider in Sitka, Alaska, licensed in Alaska (102592) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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
Dr. Guillermo Eduardo 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SITKA, AK 99835
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 Guillermo Espinoza's NPI number?
The NPI number for Guillermo Espinoza is 1194081042. It was assigned to this individual provider in the NPPES registry on April 4, 2012.
Where is Guillermo Espinoza located?
Guillermo Espinoza practices at 222 Tongass Dr, Sitka, AK 99835. The listed phone number is (907) 966-2411.
What is Guillermo Espinoza's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Guillermo Espinoza enrolled in Medicare?
Yes. Guillermo 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 Guillermo Espinoza accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Guillermo 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 Guillermo Espinoza was last updated on June 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
