Active NPI 1982690632 Individual Practitioner Male Practitioner

Dr. Jose A Espinosa , MD

Neurological Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Espinosa, MD is a certified Neurological Surgery practicing in Springfield, IL. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Espinosa delivers high-quality medical care to the local community at 421 N 9TH ST.

Dr. Espinosa is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

421 N 9th St
Suite 240

Springfield, IL 627025317

Telephone 2175455878

Fax 2175458103

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +18.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Springfield, IL (397 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Espinosa (42 Years) 42 Yrs

Springfield Specialty Average (23.9 Years) 23.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	38	24	$256.34	$86.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$466.00	$160.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$257.00	$87.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$230.00	$78.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$321.00	$109.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	30	$143.00	$89.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$212.00	$104.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$158.00	$70.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$320.00	$133.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$143.00	$88.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	44	$158.00	$71.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$212.00	$110.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$320.00	$135.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	45	$143.00	$74.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	32	$158.00	$73.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$212.00	$106.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	72	$143.00	$72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$213.10	$102.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	24	$158.00	$72.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$81.00	$43.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	60	$143.00	$68.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$212.00	$105.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	46	$81.00	$41.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	29	$158.00	$72.12

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	94	76	$81.00	$41.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$212.68	$104.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	38	$158.00	$71.10
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$143.00	$68.74
95974 Electronic analysis and programming of implanted complex cranial neurostimulator generator system during or after surgery, first hour	14	14	$1838.00	$163.85
61885 Insertion of brain neurostimulator pulse device with connection to single electrode array	14	14	$3003.00	$508.56
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$132.91	$71.82

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License IL 036089047

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036089047 (IL)

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Marc Garfinkel , MD

Transplant Surgery

NPI 1164587994

Doctor of Medicine (M.D.)

Patricia Klos , ANP-BC

Nurse Practitioner - Adult Health

NPI 1205068962

ANPBC

Dr. John Mellinger , MD

Surgery

NPI 1275642233

Doctor of Medicine (M.D.)

Dr. Sajida Ahad , MD

Surgery

NPI 1326024837

Doctor of Medicine (M.D.)

Micah Servis , SA-C

Physician Assistant - Surgical

NPI 1467752220

SAC

Sharon Mollman , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1578621132

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2012

Registered at 421 N 9TH ST, SUITE 240, SPRINGFIELD, IL 627025317 (Tel: 2175455878)

📍

Updated Business Mailing Address October 24, 2012

Registered at PO BOX 19680, SPRINGFIELD, IL 627949680 (Tel: 2175455878)

👤

Provider Name / Credentials Updated October 24, 2012

Recorded as JOSE ESPINOSA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2012

Neurological Surgery (License #036089047 in IL)

🟢

Initial NPI Registration & Enumeration September 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982690632

Entity Type:

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

Enumeration Date: September 27, 2005

Last Update: October 24, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19680

Springfield, IL 627949680

Phone: 2175455878

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.