James Estipona, DO
NPI 1134689938 · Family Medicine Physician · Hershey, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Estipona, DO is a Family Medicine Physician provider in Hershey, PA (NPI 1134689938).
Provider details
- NPI number
- 1134689938
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 009767 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,783 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 560 | $126 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 452 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 338 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 325 | $129 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 324 | $19 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 126 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 592 | 182 |
| Levothyroxine Sodium | 502 | 149 |
| Amlodipine Besylate | 411 | 129 |
| Lisinopril | 399 | 123 |
| Losartan Potassium | 314 | 101 |
| Gabapentin | 275 | 89 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$379 across 20 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
Additional practice locations (1)
- 340 S Willard StCottonwood, AZ 86326-4126Phone: (928) 634-5551
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is James Estipona's NPI number?
- James Estipona's National Provider Identifier (NPI) is 1134689938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Estipona's specialty?
- James Estipona is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Estipona located?
- James Estipona's practice location on file with NPPES is 500 University Dr, Hershey, PA 17033-2360.
- What is James Estipona's phone number?
- The practice phone number listed in the NPPES registry for James Estipona is (800) 243-1455.
- Does James Estipona accept Medicare?
- James Estipona is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Estipona's NPI active?
- Yes — James Estipona's NPI (1134689938) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.