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EDGARDO E LI-ESPINO M.D.
NPI 1285768432
Internal Medicine - Infectious Disease in Pensacola, FL

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
88.45/100
CMS Quality Rating
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504(850) 439-5681(850) 439-5682 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgardo E Li-espino M.d. NPPES

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

EDGARDO E LI-ESPINO M.D. (NPI 1285768432) is an individual infectious disease provider in Pensacola, Florida, licensed in Florida (ME83674) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1285768432
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameEDGARDO E LI-ESPINOCredential: M.D.
Location Address5147 N 9TH AVE, SUITE 322Pensacola, FL 32504-8771
Mailing Address5147 N 9th Ave, Suite 322Pensacola, FL 32504-8771 · (850) 439-5681 · Fax (850) 439-5682
Phone(850) 439-5681
Fax(850) 439-5682
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 23, 2016
✔ NPI 1285768432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME83674
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5147 N 9TH AVE, Pensacola, FL 32504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and more.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

Edgardo E Li-espino 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 ID8628101722
PECOS Enrollment IDI20100726000693
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 6

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 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.
2,366 services408 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.
383 services329 patients
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.
78 services36 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.
49 services42 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.
22 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

88.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.75
Promoting Interoperability86
Improvement Activities40
Cost61.78

Reported Quality Measures

Breast Cancer Screening
14%63 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
8%167 patients1/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%38 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%386 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
73%80 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 121 patients
Patients totalRate: 0% · 121 patients
0%121 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. RICHARD J AMATO PA-C
Physician Assistant (Surgical)
5147 N 9TH AVE, STE 318
PENSACOLA, FL 32504
Escambia County (850) 462-2250
LUDOVIC M LASQUETY M.D.
Surgery
5147 N 9TH AVE, STE. 203
PENSACOLA, FL 32504
Escambia County (850) 476-6110
PENSACOLA BONE & JOINT CLINIC PA
Orthopaedic Surgery
5147 N 9TH AVE, SUITE 110
PENSACOLA, FL 32504
Escambia County (850) 479-7229
WILLIAM ELSWORTH GROSS MD
Otolaryngology
5147 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 475-9025
BRADLEY RICHARD CONTI P.A.
Physician Assistant (Surgical)
5147 N 9TH AVE, SUITE 322
PENSACOLA, FL 32504
Escambia County (850) 474-9995
MRS. ALLISON KIRKLAND TERRELL MS CCC A
Audiologist
5147 N 9TH AVE, MEDICAL MALL STE. 315
PENSACOLA, FL 32504
Escambia County (850) 473-0112
DR. STEVEN S. SAMII M.D.
Internal Medicine
5147 N 9TH AVE, SUITE 103
PENSACOLA, FL 32504
Escambia County (850) 416-6886
MCMAHON & RICKETSON MD PA
Surgery
5147 N 9TH AVE, STE. 203
PENSACOLA, FL 32504
Escambia County (850) 476-6110

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 Edgardo Li-espino's NPI number?

The NPI number for Edgardo Li-espino is 1285768432. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Edgardo Li-espino located?

Edgardo Li-espino practices at 5147 N 9th Ave Suite 322, Pensacola, FL 32504. The listed phone number is (850) 439-5681.

What is Edgardo Li-espino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Edgardo Li-espino enrolled in Medicare?

Yes. Edgardo Li-espino 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 Edgardo Li-espino accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Edgardo Li-espino 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.

Is Edgardo Li-espino affiliated with any hospitals?

According to CMS data, Edgardo Li-espino is affiliated with Sacred Heart Hospital, Baptist Hospital, Hca Florida West Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Edgardo Li-espino was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.