DAVID ROBERTO ESPINOZA MD, CAQSM
NPI 1740626795
Family Medicine - Sports Medicine in San Antonio, TX

Active since May 17, 2013PECOS EnrolledAccepts Medicare Assignment
72.28/100
CMS Quality Rating
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216(210) 804-5490(210) 804-6850 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Roberto Espinoza Md, Caqsm NPPES

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

DAVID ROBERTO ESPINOZA MD, CAQSM (NPI 1740626795) is an individual sports medicine provider in San Antonio, Texas, licensed in Texas (Q4946) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical School At Houston (2013).

NPPES Registry Identity

NPI1740626795
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDAVID ROBERTO ESPINOZACredential: MD, CAQSM
Location Address400 CONCORD PLAZA DR STE 300San Antonio, TX 78216-6991
Mailing Address400 Concord Plaza Dr Ste 300San Antonio, TX 78216-6991 · (210) 804-5400 · Fax (210) 678-4142
Fax(210) 804-6850
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2013
Enumeration DateMay 17, 2013
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1740626795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in TX · Q4946 Licensed in PA · MD462194
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

400 CONCORD PLAZA DR STE 300, San Antonio, TX 78216

Secondary Practice Locations 3

Location 1601 Creekside Xing Ste 106New Braunfels, TX 78130-4093 · Phone (210) 804-5490 · Fax (210) 804-6850
Location 219138 US Highway 281 N Ste 100San Antonio, TX 78258-4988 · Phone (210) 804-5490 · Fax (210) 804-6850
Location 32829 Babcock Rd Ste 700San Antonio, TX 78229-6015 · Phone (210) 804-5490 · Fax (210) 804-6850

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

David Roberto Espinoza Md, Caqsm 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 ID244555340
PECOS Enrollment IDI20190924001866
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,874 services331 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
368 services266 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.
296 services193 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.
188 services188 patients
Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604
This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.
179 services66 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.
139 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

72.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.73
Promoting Interoperability90
Improvement Activities40
Cost52.22

Reported Quality Measures

Advance Care Plan
12%841 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
57%319 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,184 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
67%46 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
82%2,993 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%816 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%31 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,760 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,882 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%2,613 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 48% · 1,581 patients
Patients screened: 51% · 1,581 patients
16%58 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 2% · 724 patients
2%724 patients
Provide Patients Electronic Access to Their Health Information
81%643 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%60 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 863 patients
Patients totalRate: 3% · 863 patients
3%863 patients4/55-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.

Nurse Practitioner
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Nurse Anesthetist, Certified Registered
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physical Medicine & Rehabilitation (Pain Medicine)
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physician Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physician Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physician Assistant (Surgical)
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Anesthesiologist Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216
Physical Therapy Assistant
400 CONCORD PLAZA DR STE 300
SAN ANTONIO, TX 78216

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 David Espinoza's NPI number?

The NPI number for David Espinoza is 1740626795. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is David Espinoza located?

David Espinoza practices at 400 Concord Plaza Dr Ste 300, San Antonio, TX 78216. The listed phone number is (210) 804-5490.

What is David Espinoza's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is David Espinoza enrolled in Medicare?

Yes. David Espinoza 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 David Espinoza accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list David Espinoza 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 David Espinoza was last updated on June 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.