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Dr. Edward James Espineli , MD

Pediatrics • Houston, TX

Active NPI 1124375571 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

6701 Fannin St
Houston, TX 770302608

Call 8328241000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6701 Fannin St

Houston, TX 770302608

Telephone 8328241000
Organization at the Same NPPES Address or Phone
Baylor College Of Medicine Facility NPI 1386691681

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Texas Childrens Physician Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Texas Medical School At Houston

Graduation Year

2009

30-day fills

15 standardized 30-day fills in 2024

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

$329 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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, 2024.

Open Payments general payments, program year 2025

All general payments: $319.22 across 5 records.

By nature of payment

  • Food and Beverage: $319.22 across 5 records.

Reporting-company totals

  • Neurelis, Inc.: $185.58 across 3 records.
  • SK Life Science, Inc.: $90.26 across 1 record.
  • ACADIA Pharmaceuticals Inc: $43.38 across 1 record.

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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Espineli 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Espineli 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Houston and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Pediatrics in Houston, TX (2024, 24 clinicians with data). Median for this group: 92. Middle half: 15 to 175.

Fewer Part D prescriptions than 75% of clinicians listed under Pediatrics in Texas (2024, 100 clinicians with data). Median for this group: 51. Middle half: 18 to 223.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Pediatrics in Houston, TX (2024, 24 clinicians with data). Median for this group: $2,783. Middle half: $382 to $11,499.

A lower Part D drug cost than 70% of clinicians listed under Pediatrics in Texas (2024, 100 clinicians with data). Median for this group: $3,042. Middle half: $328 to $27,355.

1,038 active clinicians are listed under Pediatrics with a practice address in Houston, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Houston

0.2% of these 1,038 clinicians have the CMS telehealth indicator.

5.9% of these 1,038 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), 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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $319.22.

Manufacturer Payment Nature Product Type Amount ($)
Neurelis, Inc.
Food and Beverage
In-kind items and services
VALTOCO General $91.48
SK Life Science, Inc.
Food and Beverage
In-kind items and services
— General $90.26
Neurelis, Inc.
Food and Beverage
In-kind items and services
VALTOCO General $47.29
Neurelis, Inc.
Food and Beverage
In-kind items and services
VALTOCO General $46.81
ACADIA Pharmaceuticals Inc
Food and Beverage
In-kind items and services
DAYBUE General $43.38

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levetiracetam Levetiracetam 15 360 $329.25 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX P8894

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

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.

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NUCC Taxonomy Code: 2084N0402X

License # reported to NPPES TX P8894

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NEUROLOGY

Medicare Enrollment ID

I20201005000057

Enrollment State Jurisdiction

TX

PECOS Control ID

0941629398

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Texas Childrens Physician Group

6651 Main St, Houston, TX 770302351

Phone: 8328263000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Ryann Hattori , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003171380

Certified Registered Nurse Anesthetist

Christopher Mcanespy , PA

Physician Assistant - Medical

NPI 1003595125

Physician Assistant

Dr. Santiago Valdes , MD

Pediatrics - Pediatric Cardiology

NPI 1053517532

Doctor of Medicine (M.D.)

Danielle Vincent

Nurse Anesthetist, Certified Registered

NPI 1023522695

Career & Practice History

NPI enumerated August 03, 2012.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124375571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2012
Last Update: June 26, 2014
Sole Proprietor: No

Other Pediatrics Specialists in Houston

All Pediatrics Specialists in Houston

Mailing Address

2 Greenway Plz Ste 300

Houston, TX 770460207

Phone: 8328283660

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.