Active NPI 1376646620 Individual Practitioner Male Practitioner

Dr. Luis E Espinoza , MD

Specialist • Pratt, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Espinoza, MD is a certified Specialist practicing in Pratt, KS. With approximately 24 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 2002, Dr. Espinoza delivers high-quality medical care to the local community at 124 COMMODORE ST STE B.

Dr. Espinoza is affiliated with Pratt Regional Medical Center Corporation and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

124 Commodore St Ste B

Pratt, KS 67124

Telephone 6206726454

Fax 6206723488

Associated Practice Facility / Clinic

🏢 Pratt Regional Medical Center Corporation Facility NPI 1053346163

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pratt, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -10.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Pratt, KS (256 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Espinoza (24 Years) 24 Yrs

Pratt Specialty Average (34.0 Years) 34.0 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	127	95	$110.00	$83.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	96	$165.00	$119.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$248.00	$101.45
36415 Insertion of needle into vein for collection of blood sample	31	26	$11.00	$8.65
51715 Injection of implant material beneath lining of bladder and/or urethra using an endoscope	18	18	$1145.00	$157.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$83.00	$52.21
58558 Biopsy and/or removal of polyp of the uterus using an endoscope	11	11	$732.00	$211.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	101	$100.00	$84.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	87	$150.00	$119.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$320.00	$157.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$225.00	$105.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$75.00	$53.12
36415 Insertion of needle into vein for collection of blood sample	21	18	$10.00	$8.40
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	17	17	$55.00	$36.51
51715 Injection of implant material beneath lining of bladder and/or urethra using an endoscope	11	11	$881.94	$185.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	87	$100.00	$84.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	42	$150.00	$119.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$75.00	$51.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$225.00	$104.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$320.00	$153.76
36415 Insertion of needle into vein for collection of blood sample	13	11	$10.00	$2.95
58558 Biopsy and/or removal of polyp of the uterus using an endoscope	13	13	$665.00	$204.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	20,640	193	$20.00	$20.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	345	194	$40.00	$13.38
99213 Established patient office or other outpatient visit, typically 15 minutes	137	79	$100.00	$86.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$150.00	$123.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$75.00	$53.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$320.00	$156.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$225.00	$103.17
58558 Biopsy and/or removal of polyp of the uterus using an endoscope	13	13	$665.00	$209.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	20,040	194	$20.12	$19.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	339	196	$40.10	$13.63
99213 Established patient office or other outpatient visit, typically 15 minutes	105	77	$99.86	$71.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$320.00	$153.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	39	$150.00	$104.68
58558 Biopsy and/or removal of polyp of the uterus using an endoscope	12	12	$665.00	$227.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	22,860	220	$20.31	$18.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg	470	12	$2.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	411	229	$40.55	$15.70
99213 Established patient office or other outpatient visit, typically 15 minutes	145	90	$99.93	$69.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	74	$150.00	$103.17
96375 Injection of additional new drug or substance into vein	98	12	$54.00	$15.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$320.00	$155.94
96413 Infusion of chemotherapy into a vein up to 1 hour	64	14	$265.00	$128.30
57288 Creation of sling around bladder canal (urethra) to control leakage	13	13	$1800.00	$586.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	23,160	223	$20.72	$17.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg	563	17	$2.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	449	241	$41.08	$18.61
96413 Infusion of chemotherapy into a vein up to 1 hour	147	25	$265.00	$125.89
99213 Established patient office or other outpatient visit, typically 15 minutes	131	82	$100.00	$66.78
96375 Injection of additional new drug or substance into vein	123	17	$54.00	$16.17
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	94	17	$85.00	$28.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	72	$150.00	$99.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$320.00	$151.49
96417 Administration of additional new drug or substance into vein, 1 hour or less	49	11	$167.00	$60.64
57288 Creation of sling around bladder canal (urethra) to control leakage	21	21	$1800.00	$551.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$75.00	$39.91
36415 Insertion of needle into vein for collection of blood sample	16	11	$10.00	$2.94
58558 Biopsy and/or removal of polyp of the uterus using an endoscope	13	13	$665.00	$208.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$225.00	$98.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	86	$100.00	$68.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	74	$150.00	$101.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$320.00	$151.95
36415 Insertion of needle into vein for collection of blood sample	55	36	$10.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$75.00	$40.71
57288 Creation of sling around bladder canal (urethra) to control leakage	14	14	$1800.00	$583.77
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	12	12	$55.00	$35.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$225.00	$101.35

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KS 263005662

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Pratt Regional Medical Center Corporation

1206 W Frontview St, Dodge City, KS 678012095

Phone: 6202257744

Pratt Regional Medical Center Corporation

200 Commodore St, Pratt, KS 671242903

Phone: 6206727451

Pratt Regional Medical Center Corporation

124 Commodore St, Pratt, KS 671242995

Phone: 6206726454

Secondary Practice Locations

700 W Central Ave, Suite 412

El Dorado, KS 670422184

Phone: 3163200501

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Robert Harris , MD

Surgery

NPI 1215011846

Doctor of Medicine (M.D.)

Dr. Joseph Brungardt , MD

Surgery

NPI 1578095030

Doctor of Medicine (M.D.)

Dr. Vicki Bortzer , DNP

Nurse Practitioner - Family

NPI 1710511019

Doctor of Nursing Practice

Jennifer Leeper , PA

Physician Assistant - Surgical

NPI 1952595118

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 22, 2019

Registered at 124 COMMODORE ST STE B, PRATT, KS 67124 (Tel: 6206726454)

📍

Updated Business Mailing Address October 22, 2019

Registered at 200 COMMODORE ST, PRATT, KS 671242903 (Tel: 6206727451)

✅

NPI Profile Active October 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2009

Registered at 700 W CENTRAL AVE, SUITE 412, EL DORADO, KS 670422184 (Tel: 3163200501)

📍

Updated Business Mailing Address October 20, 2009

Registered at 700 W CENTRAL AVE, SUITE 412, EL DORADO, KS 670422184 (Tel: 3163200501)

👤

Provider Name / Credentials Updated October 20, 2009

Recorded as LUIS ESPINOZA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2009

Specialist (License #263005662 in KS)

🟢

Initial NPI Registration & Enumeration September 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1376646620

Entity Type:

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

Enumeration Date: September 05, 2006

Last Update: October 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Commodore St

Pratt, KS 671242903

Phone: 6206727451

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.