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DR. LEE ENRICO ESLAVA MD
NPI 1639125602
Internal Medicine in Gulf Shores, AL

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
3620 GULF SHORES PKWY, SUITE 230, GULF SHORES, AL 36542(251) 967-4000(251) 967-2398 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lee Enrico Eslava Md NPPES

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

DR. LEE ENRICO ESLAVA MD (NPI 1639125602) is an individual internal medicine provider in Gulf Shores, Alabama, licensed in Alabama (00016524) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1991).

NPPES Registry Identity

NPI1639125602
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LEE ENRICO ESLAVACredential: MD
Location Address3620 GULF SHORES PKWY, SUITE 230Gulf Shores, AL 36542-2847
Mailing AddressPo Box 2699Pensacola, FL 32513-2699
Phone(251) 967-4000
Fax(251) 967-2398
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1991
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1639125602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 00016524
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.
3620 GULF SHORES PKWY, Gulf Shores, AL 36542
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Other Identifiers 1

Medicare UPINF30205AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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

Dr. Lee Enrico Eslava 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 ID3274689526
PECOS Enrollment IDI20090929000076
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

4

Medicare enrollment records show Lee Eslava reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foley Clinic Corp
1.9 mi
Family Medicine
101 E 15TH AVE
Gulf Shores, AL 36542
  • Reassigned Medicare billing, Alabama enrollment
  • 112 clinicians in this Medicare group
NPI 1629027826 (251) 968-5901
Sacred Heart Health System, Inc.
9.3 mi
Multi-Specialty
1851 N MCKENZIE ST
Foley, AL 36535
  • Reassigned Medicare billing, Alabama enrollment
  • 14 clinicians in this Medicare group
NPI 1619928165 (850) 416-1575
Alabama Providence Healthcare Services
19 mi
Family Medicine
18317 US HWY 90
Robertsdale, AL 36567
  • Reassigned Medicare billing, Alabama enrollment
  • 102 clinicians in this Medicare group
NPI 1174952261 (251) 947-2000
Coastal Family Medicine, LLC
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
No phone listed

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 8

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.

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.
348 services183 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.
173 services93 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.
138 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services122 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.
113 services111 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.
66 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36542 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims17 services$5.02 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers14 claims14 services$53.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers86 claims86 services$15.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$5.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers155 claims155 services$84.22 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers49 claims49 services$32.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lee Eslava's NPI number?

The NPI number for Lee Eslava is 1639125602. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Lee Eslava located?

Lee Eslava practices at 3620 Gulf Shores Pkwy Suite 230, Gulf Shores, AL 36542. The listed phone number is (251) 967-4000.

What is Lee Eslava's specialty?

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

Is Lee Eslava enrolled in Medicare?

Yes. Lee Eslava 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 Lee Eslava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Eslava reassigns Medicare benefits to 4 organizations: Foley Clinic Corp (Gulf Shores, AL), Sacred Heart Health System, Inc. (Foley, AL), Alabama Providence Healthcare Services (Robertsdale, AL) and Coastal Family Medicine, LLC (AL). 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 Lee Eslava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Eslava accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Lee Eslava 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.

When was this NPI record last updated?

The NPPES record for Lee Eslava was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.