NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1114345246 MD
Verify on CMS → Esteban Figueroa, MD
Gastroenterology Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
355
Medicare Part D claims · 126 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$13.2K
12 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Esteban Figueroa, MD reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 355 Medicare Part D claims in 2023.
- 79.4/100
- MIPS score · -4 vs avg
- 355
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Esteban Figueroa, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Esteban Figueroa, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Esteban Figueroa, MD writes more Part D claims than 24% of them and scores higher on MIPS quality than 30% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Esteban Figueroa, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Esteban Figueroa, MD 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).
What does the federal data show about Esteban Figueroa, MD?
Near national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
355 57% vs specialty avg
MIPS final score
79.4/100 3.7 pts vs avg
Specialty distribution in Virginia
How Gastroenterology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Esteban Figueroa, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 79.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 79.4/100 vs national avg 83.1
How MIPS and board certification work
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).
Esteban Figueroa, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1215 LEE ST, Charlottesville, VA, 22908, with a listed phone of (434) 243-3090. NPI 1114345246 was issued on 04/05/2014.
Medicare Part D records for calendar year 2023 show 355 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $2.2 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4/100 for the 2023 performance year (Quality 73.7, Cost 57.7), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1114345246 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/05/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Esteban Figueroa, MD 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.
Rmh Medical Group LLC
Harrisonburg, VA
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 Esteban Figueroa, MD. Source: openpaymentsdata.cms.gov.
Total received
$13.2K
Largest payer
ABBVIE 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
355
Total Claims
$2.2M
Total Drug Cost
126
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 536
- Total Day Supply
- 12,961
- Generic Drug Cost
- $52K
Patient Demographics
- Average Patient Age
- 66.3 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 37, 65-74: 53, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Esteban Figueroa, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Stelara
Stelara
64 claims
- Mesalamine
Mesalamine
29 claims
- Prednisone 18
Prednisone
18 claims
- Mesalamine Er 17
Mesalamine Er
17 claims
- Diphenoxylate-Atro… 16
Diphenoxylate-Atropine
16 claims
- Pantoprazole Sodium 15
Pantoprazole Sodium
15 claims
- Promethazine Hcl 14
Promethazine Hcl
14 claims
| Drug | Claims |
|---|---|
| Stelara Ustekinumab | 64 |
| Mesalamine | 29 |
| Prednisone | 18 |
| Mesalamine Er Mesalamine | 17 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 16 |
| Pantoprazole Sodium | 15 |
| Promethazine Hcl | 14 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
| Peg-3350 And Electrolytes "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Esteban Figueroa, MD fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Esteban Figueroa, MD's 355 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Figueroa.
Dr. Mahmood Abedi
MD
Fairfax, VA
Dr. Mohammad Abidi
MD
Manassas, VA
Dr. Souheil Abou Assi
M.D.
Richmond, VA
Dr. Emad Abuhamda
MD
Alexandria, VA
Dr. Jason Adam
M.D.
North Chesterfield, VA
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Esteban Figueroa, MD's specialty? ▼
Esteban Figueroa, MD specializes in Gastroenterology Physician and practices in Charlottesville, Virginia. Credentials: MD.
How much does Esteban Figueroa, MD prescribe under Medicare Part D? ▼
In 2023, Esteban Figueroa, MD wrote 355 Medicare Part D claims totaling $2.2M in drug costs for 126 beneficiaries.
What is Esteban Figueroa, MD's Medicare quality score? ▼
Esteban Figueroa, MD has a CMS MIPS Final Score of 79.4/100 (Quality: 73.7, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Esteban Figueroa, MD located? ▼
Esteban Figueroa, MD is located at 1215 LEE ST, Charlottesville, VA, 22908. Phone: (434) 243-3090.
What is Esteban Figueroa, MD's NPI number? ▼
Esteban Figueroa, MD's National Provider Identifier (NPI) is 1114345246, issued on 04/05/2014.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Esteban Figueroa, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Esteban Figueroa, MD's most frequently prescribed drugs include Stelara, Mesalamine, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Esteban Figueroa, MD accept Medicare? ▼
Esteban Figueroa, MD appears in CMS Medicare data with 355 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Esteban Figueroa, MD's credentials? ▼
Esteban Figueroa, MD's NPI is 1114345246 with credentials MD. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.