2026 NPPES data Adult Medicine Physician NPI 1760502116 M.D.
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ESTEBAN PENA AYALA, M.D.

Adult Medicine Physician in CHAPEL HILL, North Carolina. 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
140
Medicare Part D claims · 34 beneficiaries · Adult Medicine Physician avg: 3K
MIPS score
92.0664/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$109.12
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ESTEBAN PENA AYALA, M.D. is a Adult Medicine Physician ([object Object]) practicing in CHAPEL HILL, North Carolina with a Medicare Part D prescribing footprint of 140 claims across 34 beneficiaries . Their CMS MIPS Final Score of 92.0664/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $109.12 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ESTEBAN PENA AYALA, M.D. reported a CMS MIPS final score of 92.0664 out of 100, above the 83.1 national average, and filed 140 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)

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

ESTEBAN PENA AYALA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/30/2007

NPI 1760502116

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

140 95% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

92.0664/100 8.966400000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Adult Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Adult Medicine Physician share within North Carolina

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within North Carolina

Medicare quality performance — MIPS

ESTEBAN PENA AYALA, M.D.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.0664/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 92.0664/100 vs national avg 83.1

0%100%National avg83%92.1%
MIPS final score (Adult Medicine Physician) — 92.0664/100 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).

ESTEBAN PENA AYALA, M.D. is a Adult Medicine Physician provider practicing in CHAPEL HILL, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1760502116. 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.

ESTEBAN PENA AYALA, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 101 MANNING DR, CHAPEL HILL, NC, 27514, with a listed phone of (404) 519-5489. NPI 1760502116 was issued on 03/30/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENA AYALA 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 140 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $11K in drug spend. 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 92.0664/100 for the 2023 performance year (Quality 85.5753), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

101 MANNING DR
CHAPEL HILL, NC 27514

Provider Details

NPI 1760502116
Specialty Adult Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 03/30/2007

CMS Quality Score (MIPS)

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

92.0664
Final Score
Avg: 83.1
85.5753
Quality
100
Promoting Interoperability

Reporting: Group practice

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 PENA AYALA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$109

Largest payer

Teleflex LLC

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.

140
Total Claims
$11K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
158
Total Day Supply
3,750
Generic Drug Cost
$6K
Antibiotic Claims
33

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
4.19
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
16
Acyclovir
13

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

Adult Medicine Physician Overview

How ESTEBAN PENA AYALA, M.D. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

ESTEBAN PENA AYALA, M.D.'s 140 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as PENA AYALA.

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ESTEBAN PENA AYALA, M.D.'s specialty?
ESTEBAN PENA AYALA, M.D. specializes in Adult Medicine Physician and practices in CHAPEL HILL, North Carolina. Credentials: M.D..
How much does ESTEBAN PENA AYALA, M.D. prescribe under Medicare Part D?
In 2023, ESTEBAN PENA AYALA, M.D. wrote 140 Medicare Part D claims totaling $11K in drug costs for 34 beneficiaries.
What is ESTEBAN PENA AYALA, M.D.'s Medicare quality score?
ESTEBAN PENA AYALA, M.D. has a CMS MIPS Final Score of 92.0664/100 (Quality: 85.5753). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ESTEBAN PENA AYALA, M.D. located?
ESTEBAN PENA AYALA, M.D. is located at 101 MANNING DR, CHAPEL HILL, NC, 27514. Phone: (404) 519-5489.
What is ESTEBAN PENA AYALA, M.D.'s NPI number?
ESTEBAN PENA AYALA, M.D.'s National Provider Identifier (NPI) is 1760502116, issued on 03/30/2007.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does ESTEBAN PENA AYALA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ESTEBAN PENA AYALA, M.D.'s most frequently prescribed drugs include Sulfamethoxazole-Trimethoprim, Acyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ESTEBAN PENA AYALA, M.D. accept Medicare?
ESTEBAN PENA AYALA, M.D. appears in CMS Medicare data with 140 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ESTEBAN PENA AYALA, M.D.'s credentials?
ESTEBAN PENA AYALA, M.D.'s NPI is 1760502116 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