Active NPI 1205801354 Individual Practitioner Male Practitioner

Dr. Edwin Espinosa , MD

Internal Medicine • Bartlett, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Espinosa, MD is a certified Internal Medicine practicing in Bartlett, IL. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Espinosa delivers high-quality medical care to the local community at 1124 W STEARNS RD.

Dr. Espinosa is affiliated with Loyola University Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1124 W Stearns Rd

Bartlett, IL 60103

Telephone 6302137788

Associated Practice Facility / Clinic

🏢 Dupage Medical Group, Ltd. Facility NPI 1770721151

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 Internal Medicine in Bartlett, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -4.4 yrs vs City Avg

City Avg: 33.4 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Bartlett, IL (7544 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Espinosa (29 Years) 29 Yrs

Bartlett Specialty Average (33.4 Years) 33.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$423.00	$100.28
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$286.00	$68.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	64	$229.00	$133.40
36415 Insertion of needle into vein for collection of blood sample	45	40	$20.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$157.00	$92.44
80053 Blood test, comprehensive group of blood chemicals	34	33	$55.00	$10.35
83036 Hemoglobin A1C level	23	21	$50.00	$9.52
80061 Blood test, lipids (cholesterol and triglycerides)	22	21	$69.00	$13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	16	$40.00	$7.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$229.00	$133.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	120	$229.00	$134.07
99213 Established patient office or other outpatient visit, typically 15 minutes	169	102	$157.00	$95.57
36415 Insertion of needle into vein for collection of blood sample	151	114	$20.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	105	89	$55.00	$10.41
80061 Blood test, lipids (cholesterol and triglycerides)	71	64	$69.00	$13.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	68	56	$40.00	$7.65
82306 Vitamin d-3 level	66	63	$152.00	$28.86
83036 Hemoglobin A1C level	56	44	$50.00	$9.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$229.00	$136.64
84443 Blood test, thyroid stimulating hormone (TSH)	37	33	$86.00	$16.31
G0008 Administration of influenza virus vaccine	34	31	$55.00	$31.18
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$52.00	$19.06
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	22	22	$103.00	$70.25
81003 Automated urinalysis test	17	16	$12.00	$2.13
84153 Psa (prostate specific antigen) measurement, total	12	11	$94.00	$18.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	140	$229.00	$138.64
36415 Insertion of needle into vein for collection of blood sample	147	110	$20.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	113	94	$55.00	$10.56
99213 Established patient office or other outpatient visit, typically 15 minutes	96	55	$157.00	$98.28
80061 Blood test, lipids (cholesterol and triglycerides)	76	69	$69.00	$13.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	56	$40.00	$7.77
83036 Hemoglobin A1C level	61	43	$50.00	$9.71
82306 Vitamin d-3 level	57	51	$152.00	$29.60
84443 Blood test, thyroid stimulating hormone (TSH)	46	39	$86.00	$16.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$229.00	$142.62
81003 Automated urinalysis test	34	30	$12.00	$2.25
G0008 Administration of influenza virus vaccine	29	27	$55.00	$17.96
90662 Influenza vaccine split virus, preservative free	24	24	$106.00	$65.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$52.00	$19.31
84153 Psa (prostate specific antigen) measurement, total	19	15	$94.00	$18.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	117	$229.00	$115.56
36415 Insertion of needle into vein for collection of blood sample	123	92	$20.00	$2.99
80053 Blood test, comprehensive group of blood chemicals	93	79	$55.00	$10.52
80061 Blood test, lipids (cholesterol and triglycerides)	73	64	$69.00	$13.33
83036 Hemoglobin A1C level	63	43	$50.00	$9.66
82306 Vitamin d-3 level	62	56	$152.00	$29.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	56	49	$40.00	$7.73
99213 Established patient office or other outpatient visit, typically 15 minutes	48	20	$157.00	$79.63
G0008 Administration of influenza virus vaccine	40	37	$55.00	$17.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$229.00	$124.55
84443 Blood test, thyroid stimulating hormone (TSH)	36	34	$86.00	$16.71
90662 Influenza vaccine split virus, preservative free	35	32	$106.00	$60.11
81003 Automated urinalysis test	20	13	$12.00	$2.23
G0103 Prostate cancer screening; prostate specific antigen test (psa)	18	18	$52.00	$19.22
82570 Creatinine level to test for kidney function or muscle injury	15	15	$27.00	$5.15
99442 Telephone medical discussion with physician, 11-20 minutes	15	12	$191.27	$80.84
82043 Urine microalbumin (protein) level	15	15	$30.00	$5.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	125	$229.00	$112.95
36415 Insertion of needle into vein for collection of blood sample	119	91	$20.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	90	77	$55.00	$11.51
80061 Blood test, lipids (cholesterol and triglycerides)	69	62	$69.00	$14.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	68	61	$40.00	$8.46
83036 Hemoglobin A1C level	57	44	$50.00	$10.57
99213 Established patient office or other outpatient visit, typically 15 minutes	49	29	$157.00	$78.97
82306 Vitamin d-3 level	45	41	$152.00	$32.23
G0008 Administration of influenza virus vaccine	33	33	$55.00	$17.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$229.00	$123.71
84443 Blood test, thyroid stimulating hormone (TSH)	30	28	$86.00	$18.30
81003 Automated urinalysis test	29	23	$12.00	$2.44
90662 Influenza vaccine split virus, preservative free	29	29	$106.00	$54.80
G0103 Prostate cancer screening; prostate specific antigen test (psa)	21	21	$52.00	$20.03
82570 Creatinine level to test for kidney function or muscle injury	11	11	$27.00	$5.63
82043 Urine microalbumin (protein) level	11	11	$30.00	$6.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	113	$229.00	$112.45
36415 Insertion of needle into vein for collection of blood sample	138	92	$20.00	$2.92
80053 Blood test, comprehensive group of blood chemicals	99	81	$55.00	$12.66
80061 Blood test, lipids (cholesterol and triglycerides)	69	59	$69.00	$16.20
83036 Hemoglobin A1C level	68	44	$50.00	$11.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	67	58	$40.00	$9.27
99213 Established patient office or other outpatient visit, typically 15 minutes	64	42	$157.00	$76.83
G0008 Administration of influenza virus vaccine	42	42	$55.00	$21.46
84443 Blood test, thyroid stimulating hormone (TSH)	36	30	$86.00	$20.33
90662 Influenza vaccine split virus, preservative free	32	32	$102.63	$52.03
81003 Automated urinalysis test	30	26	$12.00	$2.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$229.00	$122.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$52.00	$22.26
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	19	12	$2.00	$0.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$352.00	$180.04
82306 Vitamin d-3 level	16	15	$152.00	$35.82
94640 Inhalation treatment for airway obstruction or sputum production	15	12	$42.00	$20.00
G0009 Administration of pneumococcal vaccine	15	15	$55.00	$21.46
84153 Psa (prostate specific antigen) measurement, total	12	12	$94.00	$22.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	115	$229.00	$112.51
36415 Insertion of needle into vein for collection of blood sample	146	100	$20.00	$2.92
80053 Blood test, comprehensive group of blood chemicals	111	88	$55.00	$12.37
83036 Hemoglobin A1C level	86	52	$50.00	$13.05
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85	68	$40.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	68	62	$69.00	$14.25
99213 Established patient office or other outpatient visit, typically 15 minutes	65	49	$157.00	$76.76
G0008 Administration of influenza virus vaccine	44	43	$55.00	$26.65
84443 Blood test, thyroid stimulating hormone (TSH)	42	37	$86.00	$22.59
81003 Automated urinalysis test	38	36	$12.00	$3.02
90662 Influenza vaccine split virus, preservative free	34	34	$52.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$229.00	$121.30
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	20	14	$2.00	$0.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$352.00	$178.71
94640 Inhalation treatment for airway obstruction or sputum production	18	15	$42.00	$19.63
84153 Psa (prostate specific antigen) measurement, total	15	13	$94.00	$24.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$52.00	$24.73

Medical Specialties & State Licenses

CMS Verified: 2021-04-16

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036102812

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036102812

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036102812 (IL)

Commercial Insurance / Payer ID Rr Medicare

110225356 (IL)

Hospital & Practice Group Affiliations

Loyola University Medical Center

2160 S 1st Ave, Maywood, IL 601533328

Phone: 7082168372

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Brenda Bergeson , MD

Family Medicine

NPI 1144258542

Doctor of Medicine (M.D.)

Dr. Monica Chirila , MD

Family Medicine

NPI 1174598189

Doctor of Medicine (M.D.)

Dr. Sabrina Tahseen , DO

Family Medicine

NPI 1376124719

Doctor of Osteopathic Medicine (D.O.)

Dr. Alexandra Bosse , MD

Family Medicine

NPI 1457791436

Doctor of Medicine (M.D.)

Dr. Yousuf Syed , DO

Family Medicine

NPI 1578050878

Doctor of Osteopathic Medicine (D.O.)

Dr. Raymond Rojas , MD

Family Medicine

NPI 1609844273

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 18, 2018

Registered at 1124 W STEARNS RD, BARTLETT, IL 60103 (Tel: 6302137788)

✅

NPI Profile Active January 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2011

Registered at 1124 W STEARNS RD, BARTLETT, IL 601034546 (Tel: 6302137788)

📍

Updated Business Mailing Address January 20, 2011

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606740018 (Tel: 6304699200)

👤

Provider Name / Credentials Updated January 20, 2011

Recorded as EDWIN ESPINOSA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2011

Internal Medicine (License #036102812 in IL)

🟢

Initial NPI Registration & Enumeration February 22, 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. Edwin Espinosa. 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: 1205801354

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: April 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1860 Paysphere Cir

Chicago, IL 606740018

Phone: 6304699200

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.