James Estipona, DO
Family Medicine Physician · Hershey, PA
James Estipona, DO is a family medicine physician with a practice address in Hershey, Pennsylvania, and NPI 1134689938, issued on Mar 20, 2019. Check the license (Pennsylvania OS024865, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- James Estipona
- Credential
- DO
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- OS024865 PA
009767 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 500 University Dr, Hershey, PA 17033
- Phone
- (800) 243-1455
- Enumerated
- Mar 20, 2019
- Record last updated
- Jul 30, 2025
- Medicare enrollment
- Enrolled (PECOS I20250812004892); accepts Medicare assignment
- Medical or professional school
- Lake Erie Col Of Osteo Med At Seton Hill Univ, 2019
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 7,483 in Pennsylvania → Look up another NPI →
Also registered at 500 University Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mahdi Abdallah, MDStudent in an Organized Health Care Education/Training Program1497457360
- Ashraf Abdelhalim, MDAnesthesiology Physician1356931729
Verify James Estipona in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license OS024865Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.6 times the Medicare Part D claims of the average family medicine physician in 2024
9,100 Medicare Part D claims for 855 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 94 claims were for opioids.
Most prescribed
- Atorvastatin Calcium592 claims
- Levothyroxine Sodium502 claims
- Amlodipine Besylate411 claims
- Lisinopril399 claims
- Losartan Potassium314 claims
- Gabapentin275 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): 77 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $379.19
20 payments; by number, the most common kind was food and beverage; the largest payer was Exact Sciences Corporation. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- The Milton S Hershey Medical Center Physicians GroupState College, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Estipona among 7,483 family medicine physician records in Pennsylvania
James Estipona, DO is one of 7,483 family medicine physician records with a practice address in Pennsylvania. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 81% of them.
- NPI issued2019 · 81% of these records are older, 17% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2019 · median 2005 among the 4,529 with a school on file
- Record last updated2025 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
59 family medicine physician records list a practice address in Hershey
They are 59 of the 3,972 NPPES records with a practice address in Hershey, and 7,483 family medicine physician records in Pennsylvania.
All 7,483 in Pennsylvania → Every provider in Hershey → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Frank Battista, M.D.Hershey, PA 170331700851730
- Christina Burkhart, MDHershey, PA 170331871550954
- Linda Chambers, MDHershey, PA 170331518921345
- N Fredrick, MDHershey, PA 170331104883867
- Dennis Gingrich, MDHershey, PA 170331417914599
- Roger Heim, DOHershey, PA 170331790743862
- James Herman, MDHershey, PA 170331861459943
- Dean Leis, M.D.Hershey, PA 170331437124724
Common questions
What is James Estipona, DO's NPI number?
James Estipona, DO's National Provider Identifier (NPI) is 1134689938, issued on Mar 20, 2019. An NPI identifies a provider in billing; it is not a license.
Where is James Estipona, DO located?
The NPPES record lists a practice address at 500 University Dr, Hershey, PA, 17033. Phone: (800) 243-1455. Providers update this record themselves, so call before visiting.
How can I verify James Estipona, DO's license?
NPPES lists Pennsylvania license number OS024865, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Estipona, DO prescribe under Medicare Part D?
In 2024, James Estipona, DO had 9,100 Medicare Part D claims for 855 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is James Estipona, DO's MIPS final score?
The 2023 MIPS final score is 77 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.