ANDREA G ESPINOZA M.D.
NPI 1700839495
Internal Medicine - Pulmonary Disease in Houma, LA

Q: What is Andrea Espinoza's NPI number?

The NPI number for Andrea Espinoza is 1700839495. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Andrea Espinoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Espinoza was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 17, 2006PECOS EnrolledAccepts Medicare Assignment

88.05/100

CMS Quality Rating

1990 INDUSTRIAL BLVD, HOUMA, LA 70363(985) 868-9300(985) 851-0053 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Andrea G Espinoza M.d. NPPES

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

ANDREA G ESPINOZA M.D. (NPI 1700839495) is an individual pulmonary disease provider in Houma, Louisiana, licensed in Louisiana (024932) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2000).

NPPES Registry Identity

NPI1700839495

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameANDREA G ESPINOZACredential: M.D.

Location Address1990 INDUSTRIAL BLVDHouma, LA 70363-7055

Mailing Address1990 Industrial BlvdHouma, LA 70363 · (985) 868-9300 · Fax (985) 851-0053

Phone(985) 868-9300

Fax(985) 851-0053

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2000

Enumeration DateMay 17, 2006

Last NPPES UpdateOctober 4, 2012

✔ NPI 1700839495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in LA · 024932

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1990 INDUSTRIAL BLVD, Houma, LA 70363

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Other Identifiers 3

Medicare PIN4K1597627LA

Medicare UPIN4K159LA

Medicaid1420867LA

Accepted Insurance

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

Andrea G 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 ID1153334990

PECOS Enrollment IDI20060724000094

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

Medicare enrollment records show Andrea Espinoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopedic Center For Sports Medicine And Reconstructive Surgery

41 mi

Sports Medicine

4921 AIRLINE DR
Metairie, LA 70001

Reassigned Medicare billing, Louisiana enrollment
10 clinicians in this Medicare group

NPI 1124171673 (504) 889-2663

Louisiana State University School Of Medicine In New Orleans Faculty G

45 mi

Clinical Medical Laboratory

1901 PERDIDO STREET
New Orleans, LA 70112

Reassigned Medicare billing, Louisiana enrollment
931 clinicians in this Medicare group

NPI 1508066283 (504) 568-6038

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 4

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 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.

58 services29 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services16 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.

14 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number190176

Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70363 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

88.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.6

Promoting Interoperability

100

Improvement Activities

Cost

58.23

Referred Medical Equipment & Supplies CMS DME claims 15

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers28 claims28 services$83.31 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers28 claims82 services$34.36 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers21 claims21 services$18.71 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers36 claims36 services$14.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers35 claims206 services$2.22 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers17 claims17 services$12.32 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 20

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

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