DR. EDUARDO DEL ROSARIO ESPIRIDION M.D.
NPI 1538165964
Psychiatry & Neurology - Psychiatry in Hagerstown, MD

Q: What is Eduardo Espiridion's NPI number?

The NPI number for Eduardo Espiridion is 1538165964. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Eduardo Espiridion's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742(240) 520-8287(240) 566-3018 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Eduardo Del Rosario Espiridion M.d. NPPES

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

DR. EDUARDO DEL ROSARIO ESPIRIDION M.D. (NPI 1538165964) is an individual psychiatry provider in Hagerstown, Maryland, licensed in Pennsylvania (MD066842L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1538165964

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. EDUARDO DEL ROSARIO ESPIRIDIONCredential: M.D.

Location Address13114 PENNSYLVANIA AVEHagerstown, MD 21742-2741

Mailing Address11015 Sani LnHagerstown, MD 21742-4034 · (301) 797-4069

Phone(240) 520-8287

Fax(240) 566-3018

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJune 21, 2005

Last NPPES UpdateOctober 7, 2015

✔ NPI 1538165964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD066842L

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

13114 PENNSYLVANIA AVE, Hagerstown, MD 21742

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Other Identifiers 3

Medicaid0124730MS

Medicare UPINH20755

Medicare ID-Type Unspecified260000489

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Eduardo Del Rosario Espiridion 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 ID2769425768

PECOS Enrollment IDI20050609000633

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 3

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.

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.

62 services61 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

36 services34 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.

33 services23 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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

$175.57 typical visit price

range $57.99 – $175.57

Typical copayment $43.89 (range $14.49 – $43.89)

Most-billed visit code 99205

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

81.19/100

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

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

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.

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