Active NPI 1871555995 Individual Practitioner Male Practitioner

Dr. Leonardo Ramon Espinel , MD

Surgery • Culpeper, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Leonardo Espinel, MD is a certified Surgery practicing in Culpeper, VA. With approximately 35 years of clinical experience since graduating from Tulane University School Of Medicine in 1991, Dr. Espinel delivers high-quality medical care to the local community at 541 SUNSET LN STE 103.

Dr. Espinel is affiliated with Uva Community Health Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, 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

541 Sunset Ln Ste 103

Culpeper, VA 227013903

Telephone 5408294440

Fax 5408254026

Associated Practice Facility / Clinic

🏢 University Of Virginia Physicians Group Facility NPI 1821545294

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Culpeper, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +10.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Culpeper, VA (909 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Espinel (35 Years) 35 Yrs

Culpeper Specialty Average (24.7 Years) 24.7 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	44	30	$83.00	$47.33
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$158.00	$63.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$234.00	$78.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$849.00	$88.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$233.00	$93.35
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$972.93	$169.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$962.00	$173.95
49650 Repair of groin hernia using an endoscope	20	20	$1637.10	$548.44
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$229.00	$79.05
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1288.00	$239.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$358.00	$127.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$99.00	$33.76
45380 Biopsy of large bowel using an endoscope	12	12	$1143.00	$146.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	35	$94.50	$49.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$263.31	$80.99
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$198.61	$65.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$961.43	$181.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$398.00	$132.05
49650 Repair of groin hernia using an endoscope	21	21	$1685.86	$566.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$853.79	$93.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$343.00	$129.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$274.05	$96.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$117.59	$35.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$189.59	$78.56
45380 Biopsy of large bowel using an endoscope	17	17	$1342.59	$186.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1293.14	$249.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	17	17	$1520.00	$124.59
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$207.00	$66.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$299.00	$83.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$856.00	$76.91

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	27	27	$160.00	$114.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$65.00	$38.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$61.00	$57.21
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$140.00	$101.62
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$102.00	$93.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	27	$65.00	$38.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$160.00	$107.93
99221 Initial hospital inpatient care per day, typically 30 minutes	35	33	$140.00	$100.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	19	$61.00	$43.87
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$102.00	$75.36
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$104.00	$75.40
49650 Repair of groin hernia using an endoscope	13	13	$1132.77	$629.31
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1032.00	$680.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	36	$255.00	$74.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$368.46	$115.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$711.00	$204.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$365.00	$78.21
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$245.00	$76.32
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$253.00	$81.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	93	$255.00	$70.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	77	$711.00	$196.53
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$256.75	$76.48
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$245.00	$71.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$144.00	$44.98

Medical Specialties & State Licenses

CMS Verified: 2022-09-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101259360

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

1871555995 (VA)

Hospital & Practice Group Affiliations

Uva Community Health Medical Group Llc

15225 Heathcote Blvd, Haymarket, VA 201696264

Phone: 7033965292

Secondary Practice Locations

70 Medical Center Cir Ste 213

Fishersville, VA 229392273

Phone: 5402457705

3620 Joseph Siewick Dr, Suite 406

Fairfax, VA 220331756

Phone: 7033598640

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Sara Hennessy , MD

Surgery

NPI 1003020264

Doctor of Medicine (M.D.)

Dr. Natasha Annor , MD

Surgery

NPI 1003107970

Doctor of Medicine (M.D.)

Dr. John Blalock , MD

Surgery

NPI 1063685352

Doctor of Medicine (M.D.)

Elena Saykaly , PA

Physician Assistant - Surgical

NPI 1073817839

Physician Assistant

Charlotte Myers , NP

Nurse Practitioner - Adult Health

NPI 1326111394

Nurse Practitioner

Dr. Robert Golub , MD

Specialist

NPI 1437174513

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location September 09, 2022

Registered at 541 SUNSET LN STE 103, CULPEPER, VA 227013903 (Tel: 5408294440)

📍

Updated Business Mailing Address September 09, 2022

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

📍

Updated Practice Location December 26, 2019

Registered at 70 MEDICAL CENTER CIR STE 213, FISHERSVILLE, VA 229392273 (Tel: 5402457705)

📍

Updated Business Mailing Address December 26, 2019

Registered at PO BOX 388, FISHERSVILLE, VA 229390388 (Tel: 5409325162)

✅

NPI Profile Active July 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2016

Registered at 3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 220331756 (Tel: 7033598640)

📍

Updated Business Mailing Address July 21, 2016

Registered at 3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 220331756 (Tel: 7033598640)

👤

Provider Name / Credentials Updated July 21, 2016

Recorded as LEONARDO ESPINEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2016

Surgery (License #0101259360 in VA)

🟢

Initial NPI Registration & Enumeration April 04, 2006

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: 1871555995

Entity Type:

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

Enumeration Date: April 04, 2006

Last Update: September 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.