ALDO ESPINOZA M.D.
NPI 1326420183
Ophthalmology in Canton, GA

Q: What is Aldo Espinoza's NPI number?

The NPI number for Aldo Espinoza is 1326420183. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Q: What is Aldo Espinoza's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Aldo Espinoza was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment

77.57/100

CMS Quality Rating

201 KIMBERLY WAY STE 106, CANTON, GA 30114(678) 381-2020(678) 381-2015 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Aldo Espinoza M.d. NPPES

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

ALDO ESPINOZA M.D. (NPI 1326420183) is an individual ophthalmology provider in Canton, Georgia, licensed in Georgia (82968) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1326420183

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameALDO ESPINOZACredential: M.D.

Location Address201 KIMBERLY WAY STE 106Canton, GA 30114-8009

Mailing Address1300 Peachtree Industrial Blvd Ste 1201Suwanee, GA 30024-4550 · (678) 381-2020 · Fax (678) 381-2015

Phone(678) 381-2020

Fax(678) 381-2015

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2015

Enumeration DateJune 29, 2015

Last NPPES UpdateMay 15, 2019

✔ NPI 1326420183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · 82968

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedInternal MedicineTaxonomy 207R00000X · License 7644 (GA)

201 KIMBERLY WAY STE 106, Canton, GA 30114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Aldo 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.

PECOS PAC ID244529527

PECOS Enrollment IDI20190628000389

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 Reassignments

Medicare enrollment records show Aldo Espinoza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Canton Eye Surgery Center

Same address

Ambulatory Surgical

201 KIMBERLY WAY STE 104
Canton, GA 30114

Reassigned Medicare billing, Georgia enrollment
21 clinicians in this Medicare group

NPI 1992122329 (678) 381-2020

Roswell Eye Surgery Center, LLC

18 mi

Ambulatory Surgical

3775 ROSWELL RD STE 175
Marietta, GA 30062

Reassigned Medicare billing, Georgia enrollment
14 clinicians in this Medicare group

NPI 1780075861 (678) 381-2020

Milan Eye LLC

20 mi

Ophthalmology

1034 HAW CREEK CIR STE 100
Cumming, GA 30041

Reassigned Medicare billing, Georgia enrollment
22 clinicians in this Medicare group

NPI 1932332459 (678) 381-2020

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 16

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

440 services294 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

398 services226 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.

213 services178 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

169 services113 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.

167 services156 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

159 services147 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.

148 services148 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

101 services79 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.

91 services60 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

58 services52 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.

35 services35 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

22 services18 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

21 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services12 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

13 services13 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

77.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

29.42

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON CAMPBELL JOHNSON M.D.

Ophthalmology

201 KIMBERLY WAY STE 106
CANTON, GA 30114

Cherokee County (678) 381-2020

DR. KATELYN WILMA LOHMAN O.D.

Optometrist

201 KIMBERLY WAY STE 106
CANTON, GA 30114

Cherokee County (678) 381-2020

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 Aldo Espinoza's NPI number?

The NPI number for Aldo Espinoza is 1326420183. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Aldo Espinoza located?

Aldo Espinoza practices at 201 Kimberly Way Ste 106, Canton, GA 30114. The listed phone number is (678) 381-2020.

What is Aldo Espinoza's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Aldo Espinoza enrolled in Medicare?

Yes. Aldo 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.

Which organizations bill Medicare for Aldo Espinoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aldo Espinoza reassigns Medicare benefits to 3 organizations: Canton Eye Surgery Center (Canton, GA), Roswell Eye Surgery Center, LLC (Marietta, GA) and Milan Eye LLC (Cumming, GA). Each 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 Aldo Espinoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aldo Espinoza accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Aldo 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.

Is Aldo Espinoza affiliated with any hospitals?

According to CMS data, Aldo Espinoza is affiliated with Northside Hospital Cherokee.

When was this NPI record last updated?

The NPPES record for Aldo Espinoza was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.