Rachel Danielle Espinal , NP
Nurse Practitioner • Houston, TX
9668 Westheimer Rd
Houston, TX 770633241
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on September 13, 2018; this date does not establish years in practice.
-
Published CMS data list 34 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
-
Published Part B service records, 2022:
- 99203 — New patient outpatient office visit: 18 service units.
- 99213 — Established patient outpatient office visit: 16 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
-
Published CMS data list 75 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
-
Published Part D records, 2021:
- Fluticasone Propionate — 20 prescription fills, including refills.
- Azithromycin — 16 prescription fills, including refills.
- Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) — 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 64 in 2021 to 34 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2022.
Practice Location & Contact Primary Location
9668 Westheimer Rd
Houston, TX 770633241
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,992 in 2022
The total amount Medicare approved for these services in 2022. 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 – by Provider and Service, 2022.
Paid by Medicare
About $1,643 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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 – by Provider and Service, 2022.
30-day fills
75 standardized 30-day fills in 2021
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
$612 in 2021
The total cost of these prescriptions in 2021, 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 – by Provider and Drug, 2021.
Open Payments general payments, program year 2025
All general payments: $39.91 across 2 records.
By nature of payment
- Food and Beverage: $39.91 across 2 records.
Reporting-company totals
- ABBVIE INC.: $39.91 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 2025 (published June 30, 2026).
NPI first issued
2018
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, “Does your provider accept Medicare as full payment?”
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.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Rachel Espinal are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Rachel Espinal are from 2021.
785 active clinicians are listed under Nurse Practitioner with a practice address in Houston, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
13.6% of these 785 clinicians have the CMS telehealth indicator.
43.7% of these 785 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.
-
Medicare Part B services
Medicare Part B services decreased 47% from 64 in 2021 to 34 in 2022.
- 2021: 64
- 2022: 34
-
Medicare-allowed amount
Medicare-allowed amount decreased 48% from $5,708 in 2021 to $2,992 in 2022.
- 2021: $5,708
- 2022: $2,992
-
Paid by Medicare
Paid by Medicare decreased 61% from $4,224 in 2021 to $1,643 in 2022.
- 2021: $4,224
- 2022: $1,643
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 58% from 178 in 2019 to 75 in 2021.
- 2019: 178
- 2020: 23
- 2021: 75
-
30-day fills
30-day fills decreased 58% from 178 in 2019 to 75 in 2021.
- 2019: 178
- 2020: 23
- 2021: 75
-
Part D drug cost
Part D drug cost decreased 68% from $1,934 in 2019 to $612 in 2021.
- 2019: $1,934
- 2020: $483
- 2021: $612
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $4.14 in 2021 to $39.91 in 2025.
- 2021: $4.14
- 2022: $163.07
- 2023: $208.40
- 2024: $204.44
- 2025: $39.91
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $39.91.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $25.29 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $14.62 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2021 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 – by Provider and Service data, 2021–2022; 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 |
|---|---|---|---|---|
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
18 | 18 | $237.78 | $96.12 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
16 | 15 | $231.88 | $78.84 |
Source: CMS Part B by Provider and Service, 2022; 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 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Fluticasone Propionate | Fluticasone Propionate | 20 | 560 | $205.04 | 20 |
| Azithromycin | Azithromycin | 16 | 81 | $97.50 | 16 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 14 | 128 | $49.93 | 14 |
| Mupirocin | Mupirocin | 14 | 238 | $220.47 | 14 |
| Prednisone | Prednisone | 11 | 87 | $38.74 | 11 |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-04-14NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as RACHEL ESPINAL, NP
Nurse Practitioner (license number reported to NPPES: TX AP138710)
NPI status registered as active in NPPES database
Registered at 9668 WESTHEIMER RD, HOUSTON, TX 770633241 (Tel: 7135977770)
Registered at 19100 GLENWEST DR APT 714, FRIENDSWOOD, TX 775467873 (Tel: 6464132844)
Recorded as RACHEL ESPINAL, FNP
Nurse Practitioner (license number reported to NPPES: TX AP138710)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Houston
- Lisa Patton, FNP
- Megan Dorough, NURSE PRACTITIONER
- Anner Jimenez, NP
- Ngwanma Okonkwo, FNP
- Angela Rutherford, NP
- Kyonna Charleston
Mailing Address
19100 Glenwest Dr Apt 714
Friendswood, TX 775467873
Phone: 6464132844