2026 NPPES data Ophthalmology Physician NPI 1790908663 M.D.
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AMY ESTES, M.D.

Ophthalmology Physician in AUGUSTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 227 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.8233/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$504.51
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: AMY ESTES, M.D. is a Ophthalmology Physician ([object Object]) practicing in AUGUSTA, Georgia with a Medicare Part D prescribing footprint of 1K claims across 227 beneficiaries — 47% brand-name prescribing . Their CMS MIPS Final Score of 77.8233/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $504.51 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: AMY ESTES, M.D. reported a CMS MIPS final score of 77.8233 out of 100, below the 83.1 national average, and filed 1,090 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

AMY ESTES, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

AMY ESTES, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/10/2007

NPI 1790908663

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,090 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

77.8233/100 5.276699999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Georgia

Medicare quality performance — MIPS

AMY ESTES, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
77.8233/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 77.8233/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Ophthalmology Physician) — 77.8233/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AMY ESTES, M.D. is a Ophthalmology Physician provider practicing in AUGUSTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1790908663. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

AMY ESTES, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 1120 15TH ST, AUGUSTA, GA, 30912, with a listed phone of (706) 721-1160. NPI 1790908663 was issued on 04/10/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESTES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,090 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $251K in drug spend, split 47% brand-name and 53% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.8233/100 for the 2023 performance year (Quality 72.0413, Cost 60.703), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1120 15TH ST
AUGUSTA, GA 30912

Provider Details

NPI 1790908663
Specialty Ophthalmology Physician
Credentials M.D.
Gender Female
NPI Issued 04/10/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.8233
Final Score
Avg: 83.1
72.0413
Quality
60.703
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where AMY ESTES, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

WELLSTAR MEDICAL GROUP LLC
AUGUSTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for AMY ESTES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$505

Largest payer

Oyster Point Pharma, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

AMY ESTES, M.D. — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 1,090 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,090
Total Claims
$251K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,727
Total Day Supply
48,783
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$230K
Generic Drug Cost
$21K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.45
Gender Split
65% female / 35% male
Age Distribution
<65: 44, 65-74: 88, 75-84: 74, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisolone Acetate
147
Latanoprost
144
Moxifloxacin
Moxifloxacin Hcl
112
Valacyclovir
Valacyclovir Hcl
87
Restasis
Cyclosporine
80
Xiidra
Lifitegrast
63
Brimonidine Tartrate
54
Fluorometholone
40
Timolol Maleate
40
Dorzolamide Hcl
39

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How AMY ESTES, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

AMY ESTES, M.D.'s 1,090 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as ESTES.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AMY ESTES, M.D.'s specialty?
AMY ESTES, M.D. specializes in Ophthalmology Physician and practices in AUGUSTA, Georgia. Credentials: M.D..
How much does AMY ESTES, M.D. prescribe under Medicare Part D?
In 2023, AMY ESTES, M.D. wrote 1,090 Medicare Part D claims totaling $251K in drug costs for 227 beneficiaries.
What is AMY ESTES, M.D.'s Medicare quality score?
AMY ESTES, M.D. has a CMS MIPS Final Score of 77.8233/100 (Quality: 72.0413, Cost: 60.703). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AMY ESTES, M.D. located?
AMY ESTES, M.D. is located at 1120 15TH ST, AUGUSTA, GA, 30912. Phone: (706) 721-1160.
What is AMY ESTES, M.D.'s NPI number?
AMY ESTES, M.D.'s National Provider Identifier (NPI) is 1790908663, issued on 04/10/2007.
Does AMY ESTES, M.D. prescribe more brand-name or generic drugs?
AMY ESTES, M.D.'s prescribing is 47% brand-name and 53% generic drugs by claim count, with $230K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does AMY ESTES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, AMY ESTES, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AMY ESTES, M.D. accept Medicare?
AMY ESTES, M.D. appears in CMS Medicare data with 1,090 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMY ESTES, M.D.'s credentials?
AMY ESTES, M.D.'s NPI is 1790908663 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology