JOHNNY ESPINOZA MD
NPI 1447819321
Internal Medicine - Nephrology in Joplin, MO

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
932 E 34TH ST STE 1, JOPLIN, MO 64804(417) 347-5818 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 29, 2024, Aug 19, 2022, Jun 13, 2019 (3 updates tracked since 2019).

About Johnny Espinoza Md NPPES

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

JOHNNY ESPINOZA MD (NPI 1447819321) is an individual nephrology provider in Joplin, Missouri, licensed in Missouri (2022024266) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Labette Health, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1447819321
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOHNNY ESPINOZACredential: MD
Location Address932 E 34TH ST STE 1Joplin, MO 64804-3932
Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1447819321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MO · 2022024266
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
932 E 34TH ST STE 1, Joplin, MO 64804

Secondary Practice Location 1

Location 11008 S Spring AveSaint Louis, MO 63110-2520 · Phone (314) 977-2650

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

Johnny 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 ID4688905086
PECOS Enrollment IDI20240808001477
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.

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.
249 services56 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.
50 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services12 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.
33 services32 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.
21 services21 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Labette Health

Acute Care Hospitals · Parsons, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170120
Location1902 South Us Hwy 59Parsons, KS 67357 · Labette County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Cox Barton County Hospital

Critical Access Hospitals · Lamar, MO
OwnershipGovernment - Local
CMS Certification Number261325
Location29 NW 1st LaneLamar, MO 64759 · Barton County
Emergency services

Freeman Neosho Hospital

Critical Access Hospitals · Neosho, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261331
Location113 West Hickory StreetNeosho, MO 64850 · Newton County
Emergency services

Integris Grove Hospital

Acute Care Hospitals · Grove, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370113
Location1001 East 18th StreetGrove, OK 74344 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
932 E 34TH ST STE 1
JOPLIN, MO 64804

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 Johnny Espinoza's NPI number?

The NPI number for Johnny Espinoza is 1447819321. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Johnny Espinoza located?

Johnny Espinoza practices at 932 E 34th St Ste 1, Joplin, MO 64804. The listed phone number is (417) 347-5818.

What is Johnny Espinoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Johnny Espinoza enrolled in Medicare?

Yes. Johnny 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 Johnny Espinoza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Johnny 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 Johnny Espinoza affiliated with any hospitals?

According to CMS data, Johnny Espinoza is affiliated with Labette Health, Freeman Health System - Freeman West, Cox Barton County Hospital, Freeman Neosho Hospital and Integris Grove Hospital.

When was this NPI record last updated?

The NPPES record for Johnny Espinoza was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.