NICHOLAS G ESPINOZA DO
NPI 1912907890
Family Medicine in Toledo, OH

Q: What is Nicholas Espinoza's NPI number?

The NPI number for Nicholas Espinoza is 1912907890. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Nicholas Espinoza'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 Nicholas Espinoza was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 21, 2005PECOS EnrolledAccepts Medicare Assignment

2200 JEFFERSON AVE, TOLEDO, OH 43604(419) 251-1400(419) 251-1797 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2016, May 10, 2016 (2 updates tracked since 2016).

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About Nicholas G Espinoza Do NPPES

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

NICHOLAS G ESPINOZA DO (NPI 1912907890) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (34.005306) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1912907890

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNICHOLAS G ESPINOZACredential: DO

Location Address2200 JEFFERSON AVEToledo, OH 43604-7101

Mailing Address2200 Jefferson Ave, 5th FlToledo, OH 43604-7101

Phone(419) 251-1400

Fax(419) 251-1797

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1990

Enumeration DateJuly 21, 2005

Last NPPES UpdateOctober 27, 20162 updates tracked since enumeration

✔ NPI 1912907890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 34.005306✔ Licensed in FL · OS8851

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.

2200 JEFFERSON AVE, Toledo, OH 43604

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Other Identifiers 4

Medicaid0843305OH

Medicare PIN4103719OH

Medicare PIN4279191OH

Medicare UPINE93941

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community 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

Nicholas G Espinoza Do 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 ID5395774053

PECOS Enrollment IDI20050812000002

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 2

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.

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.

90 services53 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43604 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims15 services$4.85 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$57.40 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$26.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HARPREET K HUNDAL PHARM.D

Pharmacist

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (419) 251-4810

DR. ZHAOHUI FAN M.D.

Student in an Organized Health Care Education/Training Program

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (850) 345-7878

ELIZABETH SHIMOURA MD

Student in an Organized Health Care Education/Training Program

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (419) 251-1400

MEGAN WHEELER DO

Student in an Organized Health Care Education/Training Program

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (419) 251-3232

BENJAMIN MATTHEW HAKE MD

Family Medicine

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (419) 251-1400

MR. FAIZAN KHALID M.D

Student in an Organized Health Care Education/Training Program

2200 JEFFERSON AVE, MERCY FAMILY PHYSICIANS
TOLEDO, OH 43604

Lucas County (419) 241-1400

MR. ALMOTAZBELLAH MAHER ZEER SR. M.D

Student in an Organized Health Care Education/Training Program

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (419) 251-1400

JANIS E. ZIMMERMAN MD

Family Medicine

2200 JEFFERSON AVE
TOLEDO, OH 43604

Lucas County (419) 251-1400

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 Nicholas Espinoza's NPI number?

The NPI number for Nicholas Espinoza is 1912907890. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Nicholas Espinoza located?

Nicholas Espinoza practices at 2200 Jefferson Ave, Toledo, OH 43604. The listed phone number is (419) 251-1400.

What is Nicholas Espinoza's specialty?

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

Is Nicholas Espinoza enrolled in Medicare?

Yes. Nicholas 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 Nicholas Espinoza accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community, MedMutual and Molina Healthcare and 1 other insurer list Nicholas 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.

Is Nicholas Espinoza affiliated with any hospitals?

According to CMS data, Nicholas Espinoza is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Espinoza was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.