DR. FRANCISCO HIGINIO ESPARZA MD
NPI 1528053733
Psychiatry & Neurology - Neurology in Bradenton, FL

Q: What is Francisco Esparza's NPI number?

The NPI number for Francisco Esparza is 1528053733. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is Francisco Esparza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Francisco Esparza was last updated on February 10, 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.

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment

7005 CORTEZ RD W, BRADENTON, FL 34210(941) 750-0602(941) 748-5626 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Francisco Higinio Esparza Md NPPES

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

DR. FRANCISCO HIGINIO ESPARZA MD (NPI 1528053733) is an individual neurology provider in Bradenton, Florida, licensed in Florida (ME72147) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Medical College Of Pennsylvania (1994).

NPPES Registry Identity

NPI1528053733

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. FRANCISCO HIGINIO ESPARZACredential: MD

Location Address7005 CORTEZ RD WBradenton, FL 34210-2509

Mailing Address315 75th St WBradenton, FL 34209-3201 · (941) 761-1998 · Fax (941) 748-5626

Phone(941) 750-0602

Fax(941) 748-5626

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1994

Enumeration DateSeptember 14, 2005

Last NPPES UpdateFebruary 10, 2022

✔ NPI 1528053733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in FL · ME72147

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

7005 CORTEZ RD W, Bradenton, FL 34210

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Other Identifiers 3

Other130022663FL · Rail Road Medicare

Medicaid259057300FL

Other35561FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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

Dr. Francisco Higinio Esparza 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 ID8820169659

PECOS Enrollment IDI20100129000694

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 14

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, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

12,855 services21 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

104 services100 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.

60 services56 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.

59 services59 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.

53 services53 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

35 services15 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

34 services22 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.

33 services27 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

27 services27 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.

24 services18 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity 64644

This procedure involves injecting a chemical into specific muscles in an arm or leg to temporarily paralyze them. It's typically used to manage muscular disorders or reduce muscle activity. The process targets 5 or more muscles in the first extremity.

23 services11 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.

17 services17 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.

14 services14 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100035

Location206 2nd St EBradenton, FL 34208 · Manatee County

Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100213

Location2020 59th St WBradenton, FL 34209 · Manatee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34210 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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

0%525 patients1/55-star benchmark: 95%

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Patients 4MonthsOfEnd: 5% · 39 patients

13%32 patients

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

72%95 patients3/55-star benchmark: 99%

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.

75%2,821 patients1/55-star benchmark: 99%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

82%570 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…

19%468 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.

89%1,268 patients2/55-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.

86%1,273 patients4/55-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…

61%1,365 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

47%1,276 patients2/55-star benchmark: 96%

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…

100%1,273 patients5/55-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…

11%1,273 patients1/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 1% · 541 patients

4%541 patients4/55-star benchmark: 100%

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.

10%1,273 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 10

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

DR. ROBERT E BLACKWOOD MD

Family Medicine

7005 CORTEZ RD W
BRADENTON, FL 34210

Manatee County (941) 792-2122

MS. DIANE LYNNE RACCIO APRN, ANP-BC

Nurse Practitioner

7005 CORTEZ RD W, 1ST FLOOR
BRADENTON, FL 34210

Manatee County (941) 750-0602

CAMILO L. CABRERA M.D.

Internal Medicine

7005 CORTEZ RD W
BRADENTON, FL 34210

Manatee County (941) 752-2700

BJA INCORPORATED

Clinic/Center (Sleep Disorder Diagnostic)

7005 CORTEZ RD W, 101
BRADENTON, FL 34210

Manatee County (978) 536-7400

THERESA M HIRVIMAKI ARNP

Nurse Practitioner (Adult Health)

7005 CORTEZ RD W
BRADENTON, FL 34210

Manatee County (941) 792-2122

JILL MARIE HUNTER I

Nurse Practitioner (Gerontology)

7005 CORTEZ RD W
BRADENTON, FL 34210

Manatee County (941) 750-0602

ZHORA ZHORAVICH OGANISYAN MD

Psychiatry & Neurology (Neurology)

7005 CORTEZ RD W
BRADENTON, FL 34210

Manatee County (941) 465-4800

JORDAN ASHLEIGH EAVES APRN

Nurse Practitioner (Family)

7005 CORTEZ RD W
BRADENTON, FL 34210

Manatee County (941) 750-0602

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 Francisco Esparza's NPI number?

The NPI number for Francisco Esparza is 1528053733. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Francisco Esparza located?

Francisco Esparza practices at 7005 Cortez Rd W, Bradenton, FL 34210. The listed phone number is (941) 750-0602.

What is Francisco Esparza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Francisco Esparza enrolled in Medicare?

Yes. Francisco Esparza 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 Francisco Esparza accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and Wellpoint list Francisco Esparza 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 Francisco Esparza affiliated with any hospitals?

According to CMS data, Francisco Esparza is affiliated with Manatee Memorial Hospital, Sarasota Memorial Hospital and Hca Florida Blake Hospital.

When was this NPI record last updated?

The NPPES record for Francisco Esparza was last updated on February 10, 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.