L FRANCISCO ESPAILLAT M.D.
NPI 1831172998
Surgery in Avon Park, FL
NPI Status: Active since November 22, 2005
Contact Information
3300 US 27 S
AVON PARK, FL
ZIP 33825
Phone: (863) 382-6108
Fax: (863) 382-2182
- Individual
- Male
- Surgery
- Medicare Quality Reporting
About L ESPAILLAT
This page provides the complete NPI Profile along with additional information for L Espaillat, a provider established in Avon Park, Florida with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1831172998 assigned on November 2005. The practitioner's primary taxonomy code is 208600000X with license number ME37822 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1831172998
- Provider Name
- L FRANCISCO ESPAILLAT M.D.
- Other Name
- LUIS FRANCISCO ESPAILLAT MD
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3300 US 27 S AVON PARK, FL 33825
- Location Phone
- (863) 382-6108
- Location Fax
- (863) 382-2182
- Mailing Address
- 2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS DEPT. FORT MYERS, FL 33907
- Mailing Phone
- (239) 931-7342
- Mailing Fax
- (863) 382-2182
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-22-2005
- Last Update Date
- 08-02-2017
- Code Navigator
A surgeon like L Espaillat treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME37822
- License State
- FL
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1254485 | OTHER (01) | FL | WELLCARE |
| 28105 | MEDICARE PIN (08) | ||
| 5632270 | OTHER (01) | FL | AETNA |
| 065931200 | MEDICAID (05) | FL | |
| QMP000005186688 | OTHER (01) | FL | MOLINA |
| 020000897 | OTHER (01) | FL | RAILROAD MEDICARE |
| 28105X | MEDICARE PIN (08) | FL | |
| 254739 | OTHER (01) | FL | AVMED |
| 4433213 | OTHER (01) | FL | CIGNA |
| P01639504 | OTHER (01) | FL | RR MEDICARE |
| 28105 | OTHER (01) | FL | BCBS |
| D53482 | MEDICARE UPIN (02) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for L FRANCISCO ESPAILLAT M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1831172998, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831172998, enumerated as an "individual" on November 22, 2005.
The provider is located at 3300 US 27 S AVON PARK, FL 33825 and the phone number is (863) 382-6108.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Wellcare, Medicare, Medicaid, Aetna, Railroad. Please consult your insurance carrier or call the provider to verify.
