DR. MARY ANGELYNNE GARCIA ESQUIVEL MD
NPI 1295013357
Internal Medicine - Endocrinology, Diabetes & Metabolism in Altoona, PA

Q: What is Mary Angelynne Esquivel's NPI number?

The NPI number for Mary Angelynne Esquivel is 1295013357. It was assigned to this individual provider in the NPPES registry on July 23, 2011.

Q: What is Mary Angelynne Esquivel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since July 23, 2011PECOS EnrolledAccepts Medicare Assignment

1414 9TH AVE, ALTOONA, PA 16602(814) 949-7622 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 30, 2017 (2 updates tracked since 2017).

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About Dr. Mary Angelynne Garcia Esquivel Md NPPES

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

DR. MARY ANGELYNNE GARCIA ESQUIVEL MD (NPI 1295013357) is an individual endocrinology, diabetes & metabolism provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD460449) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1295013357

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. MARY ANGELYNNE GARCIA ESQUIVELCredential: MD

Location Address1414 9TH AVEAltoona, PA 16602-2415

Mailing Address709 Holliday Hills DrHollidaysburg, PA 16648-3218 · (310) 975-5485

Phone(814) 949-7622

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 23, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1295013357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in PA · MD460449

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1414 9TH AVE, Altoona, PA 16602

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Dr. Mary Angelynne Garcia Esquivel Md 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 ID4789801366

PECOS Enrollment IDI20221028000270

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 Reassignment

Medicare enrollment records show Mary Angelynne Esquivel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mass General Brigham Medical Group Northern Massachusetts Inc

412 mi

Emergency Medicine

81 HIGHLAND AVE
Salem, MA 01970

Reassigned Medicare billing, Massachusetts enrollment
994 clinicians in this Medicare group

NPI 1588606123 (978) 354-4173

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

Areas of Expertise CMS Part B claims 12

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

4,800 services55 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.

465 services269 patients

Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes G0109

This is a 30-minute group training session for diabetes patients. It helps you manage your diabetes better by teaching you about diet, exercise, medication, and monitoring blood sugar levels. You'll also learn how to handle emergencies and reduce diabetes-related complications.

160 services17 patients

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

145 services56 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

98 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

89 services89 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

79 services66 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

77 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services43 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

36 services36 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.

18 services18 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.

15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

54%78 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

2 suppliers16 claims208 services$19.10 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

2 suppliers16 claims480 services$2.41 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

19 suppliers85 claims350 services$6.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers44 claims77 services$1.01 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers27 claims27 services$308.53 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

2 suppliers14 claims620 services$6.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BLAIR MEDICAL ASSOCIATES

Family Medicine

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 949-7621

THEODORE BELIS

Urology

1414 9TH AVE
ALTOONA, PA 16602

Blair County (814) 946-1655

BLAIR MEDICAL ASSOCIATES

Internal Medicine

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

RAPHAEL VOLTZ

Physician Assistant

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

NATASHA D. MCCARTNEY

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

MICHAEL L HUMPHREY D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

BLAIR MEDICAL ASSOCIATES

Podiatrist (Foot & Ankle Surgery)

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

JONATHAN HOLTZ

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1414 9TH AVE
ALTOONA, PA 16602

Blair County (814) 946-1655

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 Mary Angelynne Esquivel's NPI number?

The NPI number for Mary Angelynne Esquivel is 1295013357. It was assigned to this individual provider in the NPPES registry on July 23, 2011.

Where is Mary Angelynne Esquivel located?

Mary Angelynne Esquivel practices at 1414 9th Ave, Altoona, PA 16602. The listed phone number is (814) 949-7622.

What is Mary Angelynne Esquivel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mary Angelynne Esquivel enrolled in Medicare?

Yes. Mary Angelynne Esquivel 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.

Which organization bills Medicare for Mary Angelynne Esquivel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Angelynne Esquivel reassigns Medicare benefits to Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Angelynne Esquivel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Angelynne Esquivel accept?

Health plans from Taro Health list Mary Angelynne Esquivel 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 Mary Angelynne Esquivel affiliated with any hospitals?

According to CMS data, Mary Angelynne Esquivel is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Mary Angelynne Esquivel was last updated on July 21, 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.