Active NPI 1497863211 Individual Practitioner Male Practitioner

Dr. Jose E Espinel , MD

Surgery • Carrollton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Espinel, MD is a certified Surgery practicing in Carrollton, GA. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Espinel delivers high-quality medical care to the local community at 157 CLINIC AVE STE 302.

Dr. Espinel is affiliated with Tanner Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

157 Clinic Ave Ste 302

Carrollton, GA 30117

Telephone 7708343336

Fax 7708322331

Associated Practice Facility / Clinic

🏢 Carrollton Surgical Group, P. A. Facility NPI 1417931825

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Carrollton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +6.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

13 Specialists

Practicing in Carrollton, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Espinel (29 Years) 29 Yrs

Carrollton Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	20	$101.00	$47.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$319.00	$124.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$399.00	$158.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$268.00	$104.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$217.00	$85.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$168.00	$75.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$306.00	$120.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	29	$96.43	$48.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$399.00	$155.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$319.00	$126.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$217.00	$83.19
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$231.53	$80.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$268.00	$104.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$306.00	$115.77
47562 Removal of gallbladder using an endoscope	11	11	$2282.00	$642.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$361.00	$160.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	21	$158.00	$68.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$279.00	$122.71
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$224.00	$97.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$241.00	$107.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$86.00	$37.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$193.59	$98.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$340.68	$162.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$221.05	$125.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$233.80	$108.24
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$150.94	$87.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$98.25	$53.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$143.14	$65.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$85.67	$37.51
47562 Removal of gallbladder using an endoscope	11	11	$2190.73	$654.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$328.00	$159.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$232.00	$103.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$132.00	$71.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$93.00	$43.43
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$127.00	$72.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$204.84	$105.34
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$161.00	$101.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$85.00	$39.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	32	$93.00	$42.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$328.00	$159.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	23	$132.00	$71.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$198.00	$104.70
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$161.00	$100.34
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$136.76	$71.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$232.00	$104.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$85.00	$38.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$233.53	$103.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$328.00	$158.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$132.00	$71.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$198.00	$102.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$93.00	$41.51
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$135.75	$69.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$85.10	$38.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$233.56	$102.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$342.79	$156.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 066288

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

PENDING (GA)

Hospital & Practice Group Affiliations

Tanner Medical Group Inc

157 Clinic Ave, Carrollton, GA 301174454

Phone: 7708125902

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Austin Lewis , MD

Surgery

NPI 1003256983

Doctor of Medicine (M.D.)

Madison Hancock , PA

Physician Assistant

NPI 1003607516

Physician Assistant

Dr. David Griffin , MD

Surgery

NPI 1083698096

Doctor of Medicine (M.D.)

Dr. Scott Denham , MD

Emergency Medicine

NPI 1184851701

Doctor of Medicine (M.D.)

Dr. Jon Stanford , MD

Surgery

NPI 1336193200

Doctor of Medicine (M.D.)

Sarah Nowicki , PA-C

Physician Assistant

NPI 1346085040

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location July 13, 2018

Registered at 157 CLINIC AVE STE 302, CARROLLTON, GA 30117 (Tel: 7708343336)

✅

NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2017

Registered at 157 CLINIC AVE STE 302, CARROLLTON, GA 301174454 (Tel: 7708343336)

📍

Updated Business Mailing Address June 07, 2017

Registered at 119 AMBULANCE DR STE 202, CARROLLTON, GA 301173857 (Tel: (770) 838-8710)

👤

Provider Name / Credentials Updated June 07, 2017

Recorded as JOSE ESPINEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Surgery (License #066288 in GA)

✅

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2016

Registered at 2737 WARM SPRINGS RD, BUILDING A, COLUMBUS, GA 319046859 (Tel: 7066602950)

📍

Updated Business Mailing Address November 02, 2016

Registered at PO BOX 1038, COLUMBUS, GA 319021038 (Tel: 7066602950)

👤

Provider Name / Credentials Updated November 02, 2016

Recorded as JOSE ESPINEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Surgery (License #066288 in GA)

🟢

Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jose Espinel. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497863211

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 29, 2006

Last Update: June 11, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

119 Ambulance Dr Ste 202

Carrollton, GA 301173857

Phone: 7708388710

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.