DR. ALFONSO LUIS ESPINEL M.D,
NPI 1821223595
Family Medicine in Bradenton, FL

Q: What is Alfonso Espinel's NPI number?

The NPI number for Alfonso Espinel is 1821223595. It was assigned to this individual provider in the NPPES registry on May 23, 2009.

Q: What is Alfonso Espinel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alfonso Espinel was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 23, 2009PECOS EnrolledAccepts Medicare Assignment

3018 53RD AVE E, BRADENTON, FL 34203(941) 348-2760(941) 348-2761 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, May 24, 2022 (2 updates tracked since 2022).

On this page

About Dr. Alfonso Luis Espinel M.d, NPPES

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

DR. ALFONSO LUIS ESPINEL M.D, (NPI 1821223595) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (ME114272) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Lehigh Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1821223595

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALFONSO LUIS ESPINELCredential: M.D,

Location Address3018 53RD AVE EBradenton, FL 34203-4331

Mailing Address3018 53rd Ave EBradenton, FL 34203-4331 · (941) 348-2760 · Fax (941) 348-2761

Phone(941) 348-2760

Fax(941) 348-2761

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateMay 23, 2009

Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1821223595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME114272✔ Licensed in AL · 31516✔ Licensed in MS · 25695

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3018 53RD AVE E, Bradenton, FL 34203

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Arkansas Blue Cross and Blue Shield 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

Dr. Alfonso Luis Espinel 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 ID6901068436

PECOS Enrollment IDI20130906000502, I20180625002314

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

742 services742 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.

235 services215 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

208 services19 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

120 services117 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

92 services46 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

79 services79 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

63 services62 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.

42 services42 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

37 services37 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

34 services34 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services30 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.

24 services22 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

22 services21 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

16 services16 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services15 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lehigh Regional Medical Center

Acute Care Hospitals · Lehigh Acres, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100107

Location1500 Lee BlvdLehigh Acres, FL 33936 · Lee County

Emergency services

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100212

Location1431 SW 1st AveOcala, FL 34471 · Marion County

Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100252

Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250006

Location200 Hwy 30 WestNew Albany, MS 38652 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34203 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 3

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

PRIMEHEALTH NETWORK PARTNERS, LLC

Clinic/Center (Urgent Care)

3018 53RD AVE E
BRADENTON, FL 34203

Manatee County (941) 260-2326

PRIMEHEALTH URGENT CARE LLC

Clinic/Center (Urgent Care)

3018 53RD AVE E
BRADENTON, FL 34203

Manatee County (941) 732-9309

JANET RAE COLE PA-C

Physician Assistant

3018 53RD AVE E
BRADENTON, FL 34203

Manatee County (941) 348-2760

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 Alfonso Espinel's NPI number?

The NPI number for Alfonso Espinel is 1821223595. It was assigned to this individual provider in the NPPES registry on May 23, 2009.

Where is Alfonso Espinel located?

Alfonso Espinel practices at 3018 53rd Ave E, Bradenton, FL 34203. The listed phone number is (941) 348-2760.

What is Alfonso Espinel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alfonso Espinel enrolled in Medicare?

Yes. Alfonso Espinel 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 Alfonso Espinel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Arkansas Blue Cross and Blue Shield, AvMed and Blue Cross and Blue Shield of Alabama and 5 other insurers list Alfonso Espinel 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 Alfonso Espinel affiliated with any hospitals?

According to CMS data, Alfonso Espinel is affiliated with Lehigh Regional Medical Center, Marion Communtiy Hospital, Hca Florida Gulf Coast Hospital, Hca Florida Raulerson Hospital and Baptist Memorial Hospital Union County.

When was this NPI record last updated?

The NPPES record for Alfonso Espinel was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.