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

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: October 25, 2026.

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

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
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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

26

Medicare enrollment records show Alfonso Espinel reassigns Medicare billing to 26 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primehealth Urgent Care LLC
5.1 mi
Urgent Care
4015 US HIGHWAY 301 N
Ellenton, FL 34222
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1225806003 (941) 269-2813
Primehealth Primary Care LLC
7.3 mi
Family Medicine
8927 US HIGHWAY 301 N # 210
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
NPI 1023692043 (941) 845-4621
Intensivist Medicine Services Of Fl, LLC
34 mi
Critical Care Medicine
2901 W SWANN AVE
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
NPI 1235836388 (813) 873-6400
Mid-Florida Emergency Physicians, LLC
67 mi
Emergency Medicine
3600 S HIGHLANDS AVE
Sebring, FL 33870
  • Reassigned Medicare billing, Florida enrollment
  • 62 clinicians in this Medicare group
NPI 1558630152 (877) 693-5700
Small Hospital Innovations LLC
109 mi
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Florida enrollment
  • 147 clinicians in this Medicare group
NPI 1184040560 (305) 204-9318
Emergency Medicine Services Of Fl, LLC
179 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Southland Medical Solutions Of Ozark, Pl
333 mi
Emergency Medical Services
126 HOSPITAL AVE
Ozark, AL 36360
  • Reassigned Medicare billing, Alabama enrollment
  • 44 clinicians in this Medicare group
NPI 1144545500 (334) 774-3955
Ess Of Eufaula, LLC
344 mi
Emergency Medicine
820 W WASHINGTON ST
Eufaula, AL 36027
  • Reassigned Medicare billing, Alabama enrollment
  • 55 clinicians in this Medicare group
NPI 1013650456 (334) 688-7276
Southland Medical Solutions Of Eufaula, Pl
344 mi
Emergency Medicine
820 W WASHINGTON ST
Eufaula, AL 36027
  • Reassigned Medicare billing, Alabama enrollment
  • 33 clinicians in this Medicare group
NPI 1205092723 (334) 688-7000
Ies Alabama PLLC
374 mi
Emergency Medicine
1613 N MCKENZIE ST
Foley, AL 36535
  • Reassigned Medicare billing, Alabama enrollment
  • 110 clinicians in this Medicare group
NPI 1053027276 (251) 949-3540

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 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

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.

Which organizations bill Medicare for Alfonso Espinel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfonso Espinel reassigns Medicare benefits to 26 organizations: Primehealth Urgent Care LLC (Ellenton, FL), Primehealth Primary Care LLC (Parrish, FL), Intensivist Medicine Services Of Fl, LLC (Tampa, FL), Mid-Florida Emergency Physicians, LLC (Sebring, FL), Small Hospital Innovations LLC (Clewiston, FL) and 21 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alfonso Espinel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfonso Espinel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Arkansas Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Health Advantage and 4 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.