EDGAR M ESPANA M. D.
NPI 1679784763
Ophthalmology in Tampa, FL

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
13330 USF LAUREL DR, TAMPA, FL 33612(813) 974-2201 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgar M Espana M. D. NPPES

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

EDGAR M ESPANA M. D. (NPI 1679784763) is an individual ophthalmology provider in Tampa, Florida, licensed in Florida (ME109427) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1679784763
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameEDGAR M ESPANACredential: M. D.
Location Address13330 USF LAUREL DRTampa, FL 33612-6601
Mailing AddressPo Box 917770Orlando, FL 32891-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 24, 2007
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1679784763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME109427
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

13330 USF LAUREL DR, Tampa, FL 33612

Secondary Practice Location 1

Location 112901 Bruce B Downs Blvd, MDC 62Tampa, FL 33612-4742 · Phone (813) 974-2201

Other Identifiers 2

Other14F15FL · Blue Cross Blue Shield
Medicaid003531100FL

Accepted 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

Edgar M Espana 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 ID3870514912
PECOS Enrollment IDI20110714000490
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 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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
284 services190 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
171 services159 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
37 services36 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
35 services35 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
19 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%113 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%211 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Allergy & Immunology
13330 USF LAUREL DR
TAMPA, FL 33612
Nurse Practitioner (Acute Care)
13330 USF LAUREL DR
TAMPA, FL 33612
Dietitian, Registered
13330 USF LAUREL DR, DIABETES CENTER
TAMPA, FL 33612
Internal Medicine (Hematology & Oncology)
13330 USF LAUREL DR
TAMPA, FL 33612
Family Medicine
13330 USF LAUREL DR
TAMPA, FL 33612
Ophthalmology
13330 USF LAUREL DR
TAMPA, FL 33612
Dermatology
13330 USF LAUREL DR, MDC79
TAMPA, FL 33612
Nurse Practitioner (Family)
13330 USF LAUREL DR
TAMPA, FL 33612

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 Edgar Espana's NPI number?

The NPI number for Edgar Espana is 1679784763. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Edgar Espana located?

Edgar Espana practices at 13330 Usf Laurel Dr, Tampa, FL 33612. The listed phone number is (813) 974-2201.

What is Edgar Espana's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Edgar Espana enrolled in Medicare?

Yes. Edgar Espana 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.

What insurance does Edgar Espana accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Edgar Espana 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 Edgar Espana affiliated with any hospitals?

According to CMS data, Edgar Espana is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Espana was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.