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LUIS E ESPINOZA MD
NPI 1376646620
Specialist in Pratt, KS

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
88.73/100
CMS Quality Rating
124 COMMODORE ST STE B, PRATT, KS 67124(620) 672-6454(620) 672-3488 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis E Espinoza Md NPPES

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

LUIS E ESPINOZA MD (NPI 1376646620) is an individual specialist in Pratt, Kansas, licensed in Kansas (263005662) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Pratt Regional Medical Center, and maintains a secondary practice location in El Dorado.

NPPES Registry Identity

NPI1376646620
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLUIS E ESPINOZACredential: MD
Location Address124 COMMODORE ST STE BPratt, KS 67124
Mailing Address200 Commodore StPratt, KS 67124-2903 · (620) 672-7451 · Fax (620) 672-2113
Phone(620) 672-6454
Fax(620) 672-3488
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2002
Enumeration DateSeptember 5, 2006
Last NPPES UpdateOctober 22, 2019
✔ NPI 1376646620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KS · 263005662
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
124 COMMODORE ST STE B, Pratt, KS 67124
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 W Central Ave, SUITE 412El Dorado, KS 67042-2184 · Phone (316) 320-0501 · Fax (316) 320-0503

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Luis E Espinoza 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 ID8426126293
PECOS Enrollment IDI20081007000074
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 7

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.

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.
127 services95 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.
115 services96 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services26 patients
Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715
This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.
18 services18 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170027
Location200 Commodore StPratt, KS 67124 · Pratt County
Emergency services Birthing friendly

Centura St. Catherine-Dodge City

Acute Care Hospitals · Dodge City, KS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number170175
Location3001 Avenue ADodge City, KS 67801 · Ford County
Emergency services Birthing friendly

Minneola District Hospital

Critical Access Hospitals · Minneola, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171368
Location212 MainMinneola, KS 67865 · Ford County
Emergency services

Hodgeman County Health Center

Critical Access Hospitals · Jetmore, KS
OwnershipGovernment - Local
CMS Certification Number171369
Location809 BramleyJetmore, KS 67854 · Hodgeman County
Emergency services

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.

88.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.71
Promoting Interoperability100
Improvement Activities40
Cost80.74

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
0%23 patients5/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%23 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
69%237 patients4/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
37%159 patients2/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
81%468 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
46%254 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
15%46 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,345 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
20%378 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%482 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%1,170 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%887 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
14%704 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 487 patients
Patients tobacco: 92% · 63 patients
98%487 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
48%1,170 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%1,170 patients1/55-star benchmark: 89%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
57%75 patients
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
19%1,170 patients
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 3

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

ROBERT BOATWRIGHT HARRIS M.D.
Surgery
124 COMMODORE ST STE B
PRATT, KS 67124
Pratt County (620) 672-6454
DR. JOSEPH GERARD BRUNGARDT MD
Surgery
124 COMMODORE ST STE B
PRATT, KS 67124
Pratt County (620) 672-6454
VICKI BORTZER DNP
Nurse Practitioner (Family)
124 COMMODORE ST STE B
PRATT, KS 67124
Pratt County (620) 672-6454

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 Luis Espinoza's NPI number?

The NPI number for Luis Espinoza is 1376646620. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Luis Espinoza located?

Luis Espinoza practices at 124 Commodore St Ste B, Pratt, KS 67124. The listed phone number is (620) 672-6454.

What is Luis Espinoza's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Luis Espinoza enrolled in Medicare?

Yes. Luis 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 Luis Espinoza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Luis 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 Luis Espinoza affiliated with any hospitals?

According to CMS data, Luis Espinoza is affiliated with Pratt Regional Medical Center, Centura St. Catherine-Dodge City, Minneola District Hospital and Hodgeman County Health Center.

When was this NPI record last updated?

The NPPES record for Luis Espinoza was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.