NPPES file of Aug 9, 2026

James E. Estes, MD

Obstetrics & Gynecology Physician · West Columbia, SC

James E. Estes, MD is an obstetrics & gynecology physician with a practice address in West Columbia, South Carolina, and NPI 1285641753, issued on Aug 1, 2006. Check the license (South Carolina 16409, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1285641753
Name
James E. Estes
Credential
MD
Primary taxonomy
Obstetrics & Gynecology Physician 207V00000X
License numbers
16409 SC
160409 SC
Self-reported in NPPES; status is on the state search
Practice location
222 E Medical LN Ste 300, West Columbia, SC 29169
Phone
(803) 936-8100
Enumerated
Aug 1, 2006
Record last updated
Oct 27, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(803) 936-8130
Medicaid ID
164093 SC
Medicare enrollment
Enrolled (PECOS I20050119000273); accepts Medicare assignment
Medical or professional school
Medical University Of South Carolina College Of Medicine, 1989
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 222 E Medical LN Ste 300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Donna Andrews, CNMAdvanced Practice Midwife1548378409
  2. Janice Bacon, MDObstetrics & Gynecology Physician1194789735
  3. Dianne Bretz, FNP-BCObstetrics & Gynecology Nurse Practitioner1659587764
  4. Blake Chapman, D.O.Obstetrics & Gynecology Physician1619357043
  5. Kaleigh Keister, D.O.Obstetrics & Gynecology Physician1407357908
  6. Cynthia Koli, NP-CObstetrics & Gynecology Nurse Practitioner1366071474

Verify James E. Estes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 16409
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Carolina license search

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21% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024

131 Medicare Part D claims for 34 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D.

  1. James Estes131
  2. Specialty average165

Most prescribed

  1. Estradiol19 claims
  2. Solifenacin Succinate19 claims
  3. Fluconazole12 claims
  4. Raloxifene Hcl11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 83 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.5
  2. Costout of 100 · 30%72.2
  3. Promoting interoperabilityout of 100 · 25%89.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $321.19

15 payments; by number, the most common kind was food and beverage; the largest payer was OptumHealth Care Solutions, LLC. The 21,429 providers of this specialty with any payment received $1,030.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Estes$321.19
  2. Specialty average$1,030.61

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Lexington Health IncLexington, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

38 obstetrics & gynecology physician records list a practice address in West Columbia

They are 38 of the 1,887 NPPES records with a practice address in West Columbia, and 752 obstetrics & gynecology physician records in South Carolina.

Other obstetrics & gynecology physician records in South Carolina

  1. Sara Janne Aarsland, M.D.Charleston, SC1548555436
  2. Amanda AbrairaSpartanburg, SC1710368402
  3. Christopher Accetta, MDSummerville, SC1407820384
  4. Riddick Ackerman, M.D.Walterboro, SC1104867183
  5. Lauren Adams, MDCharleston, SC1558055640
  6. Robert Adams, M.D.Florence, SC1447537840
  7. Douglas Addy, MDColumbia, SC1942270590
  8. Alicia Agard, MDColumbia, SC1710797857
  9. Aboagye Agyenim - Boateng, MDColumbia, SC1194758243
  10. Oluwamuye Akinbote, M.D.Summerville, SC1164740346

Common questions

What is James E. Estes, MD's NPI number?

James E. Estes, MD's National Provider Identifier (NPI) is 1285641753, issued on Aug 1, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James E. Estes, MD located?

The NPPES record lists a practice address at 222 E Medical LN Ste 300, West Columbia, SC, 29169. Phone: (803) 936-8100. Providers update this record themselves, so call before visiting.

How can I verify James E. Estes, MD's license?

NPPES lists South Carolina license number 16409, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James E. Estes, MD prescribe under Medicare Part D?

In 2024, James E. Estes, MD had 131 Medicare Part D claims for 34 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.

What is James E. Estes, MD's MIPS final score?

The 2023 MIPS final score is 83 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.