Dr. Michael Joseph Espiritu , MD, MPH
Internal Medicine โข Clermont, FL
1900 Don Wickham Dr
Clermont, FL 347111979
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michael Espiritu is listed in NPPES under Internal Medicine.
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NPI assigned on April 29, 2012; this date does not establish years in practice.
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Published CMS data list 537 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99217 โ Hospital observation care on day of discharge: 288 service units.
- 99225 โ Subsequent observation care: 71 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 66 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 298 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Prednisone โ 59 prescription fills, including refills.
- Meclizine Hcl โ 35 prescription fills, including refills.
- Ciprofloxacin Hcl โ 30 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 107 in 2017 to 537 in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2018.
Practice Location & Contact Primary Location
1900 Don Wickham Dr
Clermont, FL 347111979
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Newark, NJ. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $46,459 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018.
Paid by Medicare
About $36,688 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018.
30-day fills
308 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,213 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018.
Open Payments general payments, program year 2022
All general payments: $45.80 across 2 records.
By nature of payment
- Food and Beverage: $45.80 across 2 records.
Reporting-company totals
- Pfizer Inc.: $45.80 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Espiritu has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Espiritu as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Clermont and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Espiritu are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Espiritu are from 2018.
96 active clinicians are listed under Internal Medicine with a practice address in Clermont, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Clermont
20.8% of these 96 clinicians have the CMS telehealth indicator.
84.4% of these 96 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 402% from 107 in 2017 to 537 in 2018.
- 2017: 107
- 2018: 537
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Medicare-allowed amount
Medicare-allowed amount increased 284% from $12,112 in 2017 to $46,459 in 2018.
- 2017: $12,112
- 2018: $46,459
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Paid by Medicare
Paid by Medicare increased 284% from $9,543 in 2017 to $36,688 in 2018.
- 2017: $9,543
- 2018: $36,688
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 82% from 164 in 2015 to 298 in 2018.
- 2015: 164
- 2016: 11
- 2017: 18
- 2018: 298
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30-day fills
30-day fills increased 87% from 164 in 2015 to 308 in 2018.
- 2015: 164
- 2016: 11
- 2017: 18
- 2018: 308
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Part D drug cost
Part D drug cost varied from year to year: $2,150 in 2015 and $2,213 in 2018.
- 2015: $2,150
- 2016: $50
- 2017: $47
- 2018: $2,213
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $235.68 in 2019 to $45.80 in 2022.
- 2019: $235.68
- 2020: $106.51
- 2021: $66.42
- 2022: $45.80
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $45.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $25.00 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $20.80 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99217
Hospital observation care on day of discharge
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288 | 268 | $110.84 | $73.29 |
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99225
Subsequent observation care, typically 25 minutes per day
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71 | 68 | $109.69 | $73.10 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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66 | 51 | $110.13 | $73.27 |
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99219
Hospital observation care, typically 50 minutes
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35 | 35 | $207.48 | $136.99 |
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99220
Hospital observation care, typically 70 minutes
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35 | 34 | $283.60 | $187.45 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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15 | 15 | $159.44 | $104.89 |
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99238
Hospital discharge day management, 30 minutes or less
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14 | 14 | $110.18 | $73.28 |
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99226
Subsequent observation care, typically 35 minutes per day
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13 | 13 | $160.26 | $105.43 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 59 | 471 | $223.44 | 55 |
| Meclizine Hcl | Meclizine Hcl | 35 | 390 | $243.10 | 35 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 30 | 226 | $134.08 | 30 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 21 | 80 | $111.43 | 20 |
| Azithromycin | Azithromycin | 21 | 101 | $149.87 | 21 |
| Amlodipine Besylate | Amlodipine Besylate | 20 | 660 | $89.96 | 20 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 18 | 69 | $150.55 | 18 |
| Ondansetron Odt | Ondansetron | 16 | 150 | $268.09 | 16 |
| Gabapentin | Gabapentin | 14 | 420 | $151.49 | 14 |
| Metronidazole | Metronidazole | 14 | 140 | $201.67 | 14 |
| Atorvastatin Calcium | Atorvastatin Calcium | 14 | 600 | $133.02 | 14 |
| Levothyroxine Sodium | Levothyroxine Sodium | 14 | 480 | $183.94 | 14 |
| Levofloxacin | Levofloxacin | 11 | 60 | $67.06 | 11 |
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | 330 | $105.36 | 11 |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-09-28NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20140903001136
FL
0143448241
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
201 Lyons Ave, Department Of Medicine, C-4
Newark, NJ 071122027
Phone: 9739267000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1900 DON WICKHAM DR, CLERMONT, FL 347111979 (Tel: 3525368840)
Registered at 1900 DON WICKHAM DR, CLERMONT, FL 347111979 (Tel: 3525368840)
Hospitalist (license number reported to NPPES: FL ME120862)
Registered at 1900 DON WICKHAM DR FL 1, CLERMONT, FL 347111979 (Tel: 3523944071)
Registered at 11527 BRICKYARD POND LN, WINDERMERE, FL 347865902 (Tel: 8636102900)
NPI status registered as active in NPPES database
Registered at 201 LYONS AVE, DEPARTMENT OF MEDICINE, C-4, NEWARK, NJ 071122027 (Tel: 9739267000)
Registered at 201 LYONS AVE, DEPARTMENT OF MEDICINE, C-4, NEWARK, NJ 071122027
Recorded as MICHAEL ESPIRITU, M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Clermont
- Dr. John Hanna, MD
- Dr. Sulman Akhtar, MD
- Dr. Andrew San Antonio, MD
- Dr. Ayesha Khan, MD
- Mitchell Milstein
- Sung Park
Mailing Address
1900 Don Wickham Dr
Clermont, FL 347111979
Phone: 3525368840