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VINCENT ESPARZA
NPI 1609372911
Internal Medicine in Austin, TX

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
5000 DAVIS LN STE 106, AUSTIN, TX 78749(512) 494-4020(512) 494-4022 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2025, Mar 30, 2020 (2 updates tracked since 2020).

About Vincent Esparza NPPES

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

VINCENT ESPARZA (NPI 1609372911) is an individual internal medicine provider in Austin, Texas, licensed in Texas (S3658) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ward Memorial Hospital, and is a graduate of Paul L Foster School Of Medicine, Texas Tech Univ (2018).

NPPES Registry Identity

NPI1609372911
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVINCENT ESPARZA
Location Address5000 DAVIS LN STE 106Austin, TX 78749-3802
Mailing Address5000 Davis Ln Ste 106Austin, TX 78749-3802 · (512) 494-4020 · Fax (512) 494-4022
Phone(512) 494-4020
Fax(512) 494-4022
Sole ProprietorNo
Medical School CMSPaul L Foster School Of Medicine, Texas Tech UnivGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1609372911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S3658
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5000 DAVIS LN STE 106, Austin, TX 78749
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Vincent Esparza 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 ID1850714817
PECOS Enrollment IDI20200709000269
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Vincent Esparza reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Persona Healthcare
Same address
Internal Medicine
5000 DAVIS LN STE 106
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
NPI 1538970124 (817) 894-2187
Lonestar Pat Associates PA
23 mi
Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
NPI 1811594203 (512) 341-1000
Ipc Healthcare Services Of Texas, PLLC
61 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
Seminole Hospital District Of Gaines County Texas
332 mi
Critical Access
209 NW 8TH ST
Seminole, TX 79360
  • Reassigned Medicare billing, Texas enrollment
  • 115 clinicians in this Medicare group
NPI 1821025990 (432) 758-5811
Parmer County Community Hospital Inc.
417 mi
Critical Access
1307 CLEVELAND AVE
Friona, TX 79035
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1861475626 (806) 250-2754
Medical Office Force
885 mi
Internal Medicine
2005 PRINCE AVENUE
Athens, GA 30606
  • Reassigned Medicare billing, Texas enrollment
  • 36 clinicians in this Medicare group
NPI 1508378613 (706) 208-9700

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 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 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.
267 services260 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.
85 services82 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ward Memorial Hospital

Critical Access Hospitals · Monahans, TX
OwnershipGovernment - Local
CMS Certification Number451373
Location406 South Gary StMonahans, TX 79756 · Ward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78749 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$192.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PERSONA HEALTHCARE
Internal Medicine
5000 DAVIS LN STE 106
AUSTIN, TX 78749
Travis County (817) 894-2187
AMANDA CARLISLE
Nurse Practitioner (Family)
5000 DAVIS LN STE 106
AUSTIN, TX 78749
Travis County (512) 371-6398
PAIN CONTROL OF TEXAS PLLC
Durable Medical Equipment & Medical Supplies
5000 DAVIS LN STE 106
AUSTIN, TX 78749
Travis County (512) 371-6398

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 Vincent Esparza's NPI number?

The NPI number for Vincent Esparza is 1609372911. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Vincent Esparza located?

Vincent Esparza practices at 5000 Davis Ln Ste 106, Austin, TX 78749. The listed phone number is (512) 494-4020.

What is Vincent Esparza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vincent Esparza enrolled in Medicare?

Yes. Vincent 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.

Which organizations bill Medicare for Vincent Esparza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Esparza reassigns Medicare benefits to 6 organizations: Persona Healthcare (Austin, TX), Lonestar Pat Associates PA (Round Rock, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX), Seminole Hospital District Of Gaines County Texas (Seminole, TX), Parmer County Community Hospital Inc. (Friona, TX) and 1 more organization, listed in the Medicare section above. 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 Vincent Esparza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Esparza accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Vincent 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 Vincent Esparza affiliated with any hospitals?

According to CMS data, Vincent Esparza is affiliated with Ward Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Esparza was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.