DR. CARLOS A ESPINOSA (M.D.) – Nephrology Physician, NPI 1194798967

DR. CARLOS A ESPINOSA (M.D.) is a healthcare provider. based in Laredo, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. K4418 (TX). The NPI Number for DR. CARLOS A ESPINOSA (M.D.) is 1194798967

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS A ESPINOSA (M.D.)
NPI
1194798967
Phone
(956) 717-0113
Address
6801 MCPHERSON AVE
Enumeration Date
10 February 2006
Last Update Date
14 October 2013

Doctor Profile

Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Secondary Phone
9567170113
Graduation Year
1992 (34 years ago)
PAC ID
1254313059
Professional Enrollment ID
I20040604000605
Address ID
TX780416403LA6801XRDXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

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Provider Addresses for DR. CARLOS A ESPINOSA (M.D.)

  • McPherson Avenue, Laredo, Webb County, Texas, 78043, United States

    SUITE 223

    LAREDO, TX 780416402

    Phone: (956) 717-0113

    Fax: (956) 717-2070

    Type: Location

  • PO BOX 450649

    LAREDO, TX 780450015

    Phone: (956) 717-0113

    Fax: (956) 717-2070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2023-02-01 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($82).

Total Amount

$101

General + Research + Ownership

Payments

2

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040604000605INephrologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90970Dialysis services, per day, less than full month service (20 years or older)44212$0
99213Established patient office or other outpatient visit, 20-29 minutes21479$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)20226$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10459$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4330$0
View full utilization report →

Insurance plans in this area (ZIP 78041)

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Provider's Procedures

DR. CARLOS A ESPINOSA (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90935Hemodialysis procedure with one physician evaluation4734
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older15781

Reviews

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Frequently asked questions

What identifier follows DR. CARLOS A ESPINOSA (M.D.) across health systems?
The NPI 1194798967 uniquely identifies DR. CARLOS A ESPINOSA (M.D.) in U.S. healthcare data.
Quick check: is DR. CARLOS A ESPINOSA (M.D.) active?
Public NPPES data shows DR. CARLOS A ESPINOSA (M.D.) with an active NPI status right now.
What does the directory say DR. CARLOS A ESPINOSA (M.D.) does?
Insurance directories may phrase it differently, but here DR. CARLOS A ESPINOSA (M.D.) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is DR. CARLOS A ESPINOSA (M.D.) tied to Laredo, Texas?
If you are local to Laredo, Texas, DR. CARLOS A ESPINOSA (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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