Paul Estrada, M.D.
NPI 1770929226 · Gastroenterology Physician · Madison, WI
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Estrada, M.D. is a Gastroenterology Physician provider in Madison, WI (NPI 1770929226).
Provider details
- NPI number
- 1770929226
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 63903 (WI)
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
13 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
585 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 | 78 | $87 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 56 | $55 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 46 | $124 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 43 | $65 |
| 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 | 36 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ursodiol | 40 | — |
| Colestipol Hcl | 26 | 15 |
| Omeprazole | 25 | 13 |
| Pantoprazole Sodium | 23 | 13 |
| Dicyclomine Hcl | 17 | 15 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 14 | 14 |
| Lipase/Protease/Amylasebrand: Creon | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$45 across 2 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)
- 2000 Trans Mountain Rd Ste BEl Paso, TX 79911-3602Phone: (915) 215-8400Fax: (915) 612-9254
Registry dates
- Enumerated
- 2013-05-10
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is Paul Estrada's NPI number?
- Paul Estrada's National Provider Identifier (NPI) is 1770929226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Estrada's specialty?
- Paul Estrada is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Estrada located?
- Paul Estrada's practice location on file with NPPES is 437 N Frances St, Madison, WI 53703-2013.
- What is Paul Estrada's phone number?
- The practice phone number listed in the NPPES registry for Paul Estrada is (210) 215-8676.
- Does Paul Estrada accept Medicare?
- Paul Estrada is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Estrada's NPI active?
- Yes — Paul Estrada's NPI (1770929226) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.