DR. SAMUEL ESPINAL DO
NPI 1548754583
Family Medicine in Port St Lucie, FL
About Dr. Samuel Espinal Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL ESPINAL DO (NPI 1548754583) is an individual family medicine provider in Port St Lucie, Florida, licensed in Florida (16197) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Dr. Samuel Espinal Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Samuel Espinal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Whitesburg, KY 41858
- Reassigned Medicare billing, Kentucky enrollment
- 579 clinicians in this Medicare group
Nicholasville, KY 40356
- Reassigned Medicare billing, Kentucky enrollment
- Also billed through NPI 1093338527 (Kentucky)
- 999 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 236 clinicians in this Medicare group
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 318 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Hardin
Acute Care Hospitals · Elizabethtown, KYPikeville Medical Center
Acute Care Hospitals · Pikeville, KYOwensboro Health Twin Lakes Medical Center
Acute Care Hospitals · Leitchfield, KYTaylor Regional Hospital
Acute Care Hospitals · Campbellsville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PORT ST LUCIE, FL 34952
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 Samuel Espinal's NPI number?
The NPI number for Samuel Espinal is 1548754583. It was assigned to this individual provider in the NPPES registry on June 21, 2018.
Where is Samuel Espinal located?
Samuel Espinal practices at 1800 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 335-4000.
What is Samuel Espinal's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel Espinal enrolled in Medicare?
Yes. Samuel Espinal 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 Samuel Espinal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Espinal reassigns Medicare benefits to 4 organizations: Pikeville Medical Center Inc. (Whitesburg, KY), Baptist Health Medical Group Inc (Nicholasville, KY), Cogent Healthcare Of Kentucky, Psc (Lexington, KY) and St Bernards Hospital Inc. (Jonesboro, AR). 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 Samuel Espinal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Espinal accept?
Health plans from CareSource list Samuel Espinal 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 Samuel Espinal affiliated with any hospitals?
According to CMS data, Samuel Espinal is affiliated with Baptist Health Hardin, Pikeville Medical Center, Owensboro Health Twin Lakes Medical Center and Taylor Regional Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Espinal was last updated on October 4, 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.
# Dr. Samuel Espinal, DO · NPI 1548754583
Family Medicine physician in Port St Lucie, Florida. Individual provider, active in the CMS NPPES registry since June 21, 2018.
## Identity
- **NPI:** 1548754583 (Entity type: Individual)
- **Enumerated:** June 21, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 16197 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1800 SE TIFFANY AVE, Port St Lucie, FL 34952-7521
- **Phone:** (772) 335-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Pikeville Medical Center Inc. (NPI 1801106281, Whitesburg, KY); Baptist Health Medical Group Inc (NPI 1255805586, Nicholasville, KY); Cogent Healthcare Of Kentucky, Psc (NPI 1053362293, Lexington, KY); St Bernards Hospital Inc. (NPI 1396053096, Jonesboro, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548754583) · Data from the CMS NPPES public registry.