2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1447489364 MD
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KENNETH ESTRERA, MD

Adult Reconstructive Orthopaedic Surgery Physician in FRISCO, Texas. 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
913
Medicare Part D claims · 217 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
73.7123/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$125
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KENNETH ESTRERA, MD reported a CMS MIPS final score of 73.7123/100 — below the 83.1 national average — and filed 913 Medicare Part D claims in 2023.

73.7123/100
MIPS score · -9 vs avg
913
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.

KENNETH ESTRERA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

74 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

KENNETH ESTRERA, 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 KENNETH ESTRERA, MD?

Below national average

NPI registry status

Active

Issued 07/13/2009

NPI 1447489364

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

913 85% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

73.7123/100 9.387699999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Texas providers

Texas providers

Adult Reconstructive Orthopaedic Surgery Physician share within Texas

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Texas

Medicare quality performance — MIPS

KENNETH ESTRERA, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
73.7123/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 73.7123/100 vs national avg 83.1

0%100%National avg83%73.7%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 73.7123/100 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).

KENNETH ESTRERA, MD appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 11000 FRISCO ST STE 200, FRISCO, TX, 75033, with a listed phone of (174) 190-3038. NPI 1447489364 was issued on 07/13/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESTRERA 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 913 prescription claims written by this provider, covering 217 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 62.2%. 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 73.7123/100 for the 2023 performance year (Quality 69.5076, Cost 57.8668), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

11000 FRISCO ST STE 200
FRISCO, TX 75033

Provider Details

NPI 1447489364
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 07/13/2009

CMS Quality Score (MIPS)

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

73.7123
Final Score
Avg: 83.1
69.5076
Quality
57.8668
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KENNETH ESTRERA, 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.

APEX ORTHOPEDICS PLLC
FRISCO, TX

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 KENNETH ESTRERA, MD. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Heron Therapeutics, 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to KENNETH ESTRERA, MD. To verify KENNETH ESTRERA, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

913
Total Claims
$9K
Total Drug Cost
217
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
929
Total Day Supply
10,533
Generic Drug Cost
$9K
Opioid Claims
568 (62.2% rate)
Antibiotic Claims
105

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
0.92
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What KENNETH ESTRERA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
388
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
126
Meloxicam
82
Celecoxib
74
Amoxicillin
50
Cefadroxil
31
Methocarbamol
30
Tramadol Hcl
28
Acetaminophen-Codeine
Acetaminophen With Codeine
20
Clindamycin Hcl
18

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How KENNETH ESTRERA, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

KENNETH ESTRERA, MD's 913 claims are above the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Texas

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KENNETH ESTRERA, MD's specialty?
KENNETH ESTRERA, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in FRISCO, Texas. Credentials: MD.
How much does KENNETH ESTRERA, MD prescribe under Medicare Part D?
In 2023, KENNETH ESTRERA, MD wrote 913 Medicare Part D claims totaling $9K in drug costs for 217 beneficiaries.
What is KENNETH ESTRERA, MD's Medicare quality score?
KENNETH ESTRERA, MD has a CMS MIPS Final Score of 73.7123/100 (Quality: 69.5076, Cost: 57.8668). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KENNETH ESTRERA, MD located?
KENNETH ESTRERA, MD is located at 11000 FRISCO ST STE 200, FRISCO, TX, 75033. Phone: (174) 190-3038.
What is KENNETH ESTRERA, MD's NPI number?
KENNETH ESTRERA, MD's National Provider Identifier (NPI) is 1447489364, issued on 07/13/2009.
Does KENNETH ESTRERA, MD prescribe opioids?
Yes, KENNETH ESTRERA, MD had 568 opioid claims in 2023 with an opioid prescribing rate of 62.2%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does KENNETH ESTRERA, MD prescribe most often?
Based on 2023 Medicare Part D data, KENNETH ESTRERA, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KENNETH ESTRERA, MD accept Medicare?
KENNETH ESTRERA, MD appears in CMS Medicare data with 913 Part D claims and 217 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KENNETH ESTRERA, MD's credentials?
KENNETH ESTRERA, MD's NPI is 1447489364 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

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