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C. FRANCISCO ESPINEL MD
NPI 1891842985
Surgery in Arlington, VA

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
1625 N GEORGE MASON DR, SUITE 334, ARLINGTON, VA 22205(703) 717-4250 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About C. Francisco Espinel Md NPPES

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

C. FRANCISCO ESPINEL MD (NPI 1891842985) is an individual surgery provider in Arlington, Virginia, licensed in Virginia (420524) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1891842985
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameC. FRANCISCO ESPINELCredential: MD
Location Address1625 N GEORGE MASON DR, SUITE 334Arlington, VA 22205-3683
Mailing Address1625 N George Mason Dr, Suite 334Arlington, VA 22205-3683 · (703) 717-4250
Phone(703) 717-4250
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 23, 2013
✔ NPI 1891842985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in VA · 420524✔ Licensed in DC · MD 037773
Definition
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.
1625 N GEORGE MASON DR, Arlington, VA 22205
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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

C. Francisco Espinel Md 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 ID5698813210
PECOS Enrollment IDI20101217000411
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
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.
24 services24 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210018
Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22205 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

DR. LUIS E. SANZ M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1625 N GEORGE MASON DR, SUITE 475
ARLINGTON, VA 22205
Arlington County (703) 717-4000
AMANDA ELAINE ROHN MD
Obstetrics & Gynecology
1625 N GEORGE MASON DR, SUITE 325
ARLINGTON, VA 22205
Arlington County (703) 717-4600
MR. JOSEPH FRANCIS KIRBY JR. PA-C
Physician Assistant (Surgical)
1625 N GEORGE MASON DR, SUITE 288
ARLINGTON, VA 22205
Arlington County (703) 558-6491
DR. JOSEPH JOHN BUCHINO MD
Pathology (Anatomic Pathology & Clinical Pathology)
1625 N GEORGE MASON DR, PATHOLOGY DEPT
ARLINGTON, VA 22205
Arlington County (703) 558-5499
DR. JENNIFER LYNN KILMER M.D.
Obstetrics & Gynecology
1625 N GEORGE MASON DR, SUITE 465
ARLINGTON, VA 22205
Arlington County (703) 717-4050
DANIEL BOYD CASEY M.D.
Internal Medicine (Critical Care Medicine)
1625 N GEORGE MASON DR, SUITE 355
ARLINGTON, VA 22205
Arlington County (703) 521-6662
DR. JOHN W RHEE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1625 N GEORGE MASON DR, SUITE 288
ARLINGTON, VA 22205
Arlington County (703) 558-6491
DR. ELLSWORTH J STAY MD
Pathology (Anatomic Pathology & Clinical Pathology)
1625 N GEORGE MASON DR, PATHOLOGY DEPT
ARLINGTON, VA 22205
Arlington County (703) 558-6541

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 C. Espinel's NPI number?

The NPI number for C. Espinel is 1891842985. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is C. Espinel located?

C. Espinel practices at 1625 N George Mason Dr Suite 334, Arlington, VA 22205. The listed phone number is (703) 717-4250.

What is C. Espinel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is C. Espinel enrolled in Medicare?

Yes. C. 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.

Is C. Espinel affiliated with any hospitals?

According to CMS data, C. Espinel is affiliated with Medstar Montgomery Medical Center.

When was this NPI record last updated?

The NPPES record for C. Espinel was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.