JOSE A ESPINOSA M.D.
NPI 1982690632
Neurological Surgery in Springfield, IL

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
421 N 9TH ST, SUITE 240, SPRINGFIELD, IL 62702(217) 545-5878(217) 545-8103 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose A Espinosa M.d. NPPES

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

JOSE A ESPINOSA M.D. (NPI 1982690632) is an individual neurological surgery provider in Springfield, Illinois, licensed in Illinois (036089047) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1982690632
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOSE A ESPINOSACredential: M.D.
Location Address421 N 9TH ST, SUITE 240Springfield, IL 62702-5317
Mailing AddressPo Box 19680Springfield, IL 62794-9680 · (217) 545-5878 · Fax (217) 545-8103
Fax(217) 545-8103
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 24, 2012
NPI 1982690632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in IL · 036089047
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
421 N 9TH ST, Springfield, IL 62702

Other Identifiers 3

Medicaid036089047IL
Medicare ID-Type UnspecifiedL60174IL
Medicare UPINF92095

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

Jose A Espinosa 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 ID6103956586
PECOS Enrollment IDI20100610000944
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.
38 services24 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Vascular Neurology)
421 N 9TH ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Adult Health)
421 N 9TH ST, STE 240
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
421 N 9TH ST
SPRINGFIELD, IL 62702
Surgery
421 N 9TH ST, SUITE 240
SPRINGFIELD, IL 62702
Registered Nurse (Registered Nurse First Assistant)
421 N 9TH ST, SUITE 240
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
421 N 9TH ST, SUITE 240
SPRINGFIELD, IL 62702
Neurological Surgery
421 N 9TH ST, STE 240
SPRINGFIELD, IL 62702

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 Jose Espinosa's NPI number?

The NPI number for Jose Espinosa is 1982690632. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Jose Espinosa located?

Jose Espinosa practices at 421 N 9th St Suite 240, Springfield, IL 62702. The listed phone number is (217) 545-5878.

What is Jose Espinosa's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jose Espinosa enrolled in Medicare?

Yes. Jose Espinosa 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 Jose Espinosa affiliated with any hospitals?

According to CMS data, Jose Espinosa is affiliated with St Johns Hospital, Decatur Memorial Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Espinosa was last updated on October 24, 2012. 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.