DR. CHOLENE DANIELLE ESPINOZA M.D
NPI 1609312149
Obstetrics & Gynecology in Madison, WI

Q: What is Cholene Espinoza's NPI number?

The NPI number for Cholene Espinoza is 1609312149. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Q: What is Cholene Espinoza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Cholene Espinoza was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 09, 2017PECOS EnrolledAccepts Medicare Assignment

1013 MOUND ST UNIT 305, MADISON, WI 53715(608) 265-7601(608) 265-7581 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Feb 10, 2022, Jan 20, 2022 and 5 more (8 updates tracked since 2017).

On this page

About Dr. Cholene Danielle Espinoza M.d NPPES

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

DR. CHOLENE DANIELLE ESPINOZA M.D (NPI 1609312149) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (1402-320) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609312149

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. CHOLENE DANIELLE ESPINOZACredential: M.D

Location Address1013 MOUND ST UNIT 305Madison, WI 53715-1682

Mailing Address1013 Mound St Unit 305Madison, WI 53715-1682

Phone(608) 265-7601

Fax(608) 265-7581

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 9, 2017

Last NPPES UpdateMarch 27, 20238 updates tracked since enumeration

NPPES CertifiedMarch 27, 2023

✔ NPI 1609312149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WI · 1402-320✔ Licensed in CA · A151099

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 1402 (WI)

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD-47373 (IA)

1013 MOUND ST UNIT 305, Madison, WI 53715

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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. Cholene Danielle Espinoza 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 ID2062746647

PECOS Enrollment IDI20230327002968

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 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.

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.

54 services30 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.

26 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360230

Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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 Cholene Espinoza's NPI number?

The NPI number for Cholene Espinoza is 1609312149. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Cholene Espinoza located?

Cholene Espinoza practices at 1013 Mound St Unit 305, Madison, WI 53715. The listed phone number is (608) 265-7601.

What is Cholene Espinoza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cholene Espinoza enrolled in Medicare?

Yes. Cholene 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.

Is Cholene Espinoza affiliated with any hospitals?

According to CMS data, Cholene Espinoza is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Cholene Espinoza was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.