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GISELLE ESPINOSA
NPI 1720315534
Physician Assistant in Sugar Land, TX

Active since November 16, 2009PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
19900 HWY 59, SUGAR LAND, TX 77479(866) 607-7334(713) 358-4801 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Giselle Espinosa NPPES

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

GISELLE ESPINOSA (NPI 1720315534) is an individual physician assistant in Sugar Land, Texas and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1720315534
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGISELLE ESPINOSA
Location Address19900 HWY 59Sugar Land, TX 77479
Mailing Address9 Greenway Plaza, Suite 2950Houston, TX 77046-0905 · (866) 607-7334 · Fax (713) 358-4801
Phone(866) 607-7334
Fax(713) 358-4801
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 16, 2009
Last NPPES UpdateApril 26, 2010
✔ NPI 1720315534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
19900 HWY 59, Sugar Land, TX 77479
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Giselle Espinosa 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 ID2769522341
PECOS Enrollment IDI20091211000285
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.

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.
32 services32 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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES

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

RCMH, LLC
Clinic/Center
19900 HWY 59
SUGAR LAND, TX 77479
Fort Bend County (281) 341-8330

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 Giselle Espinosa's NPI number?

The NPI number for Giselle Espinosa is 1720315534. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Where is Giselle Espinosa located?

Giselle Espinosa practices at 19900 Hwy 59, Sugar Land, TX 77479. The listed phone number is (866) 607-7334.

What is Giselle Espinosa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Giselle Espinosa enrolled in Medicare?

Yes. Giselle Espinosa 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 Giselle Espinosa 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 5 other insurers list Giselle Espinosa 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 Giselle Espinosa affiliated with any hospitals?

According to CMS data, Giselle Espinosa is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Giselle Espinosa was last updated on April 26, 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.