Mario Espinosa Garcia, MD
NPI 1083653141 · Pulmonary Disease Physician · Bayamon, PR
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Espinosa Garcia, MD is a Pulmonary Disease Physician provider in Bayamon, PR (NPI 1083653141).
Provider details
- NPI number
- 1083653141
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5005 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
73 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 73 | $89 |
Typical Medicare-allowed amounts for these services range $89–$89 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Montelukast Sodium | 787 | 224 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 506 | 195 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 302 | 66 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 280 | 62 |
| Fluticasone Propionate | 263 | 86 |
| Fluticasone Propion/Salmeterolbrand: Wixela Inhub | 180 | 50 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,775 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Frequently asked questions
- What is Mario Espinosa Garcia's NPI number?
- Mario Espinosa Garcia's National Provider Identifier (NPI) is 1083653141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Espinosa Garcia's specialty?
- Mario Espinosa Garcia is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Espinosa Garcia located?
- Mario Espinosa Garcia's practice location on file with NPPES is 66 Calle Santa Cruz, Bayamon, PR 00961-7041.
- What is Mario Espinosa Garcia's phone number?
- The practice phone number listed in the NPPES registry for Mario Espinosa Garcia is (787) 449-4486.
- Does Mario Espinosa Garcia accept Medicare?
- Mario Espinosa Garcia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Espinosa Garcia's NPI active?
- Yes — Mario Espinosa Garcia's NPI (1083653141) is active in the NPPES registry as of the last update on 2022-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.