NPPES file of Aug 9, 2026

Kimberly Jean Estes, MD

Ophthalmology Physician · Downers Grove, IL

Kimberly Jean Estes, MD is an ophthalmology physician with a practice address in Downers Grove, Illinois, and NPI 1386038719, issued on Mar 24, 2015. Check the license (Illinois 036150045, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; 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
1386038719
Name
Kimberly Jean Estes
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
036150045 IL
Self-reported in NPPES; status is on the state search
Practice location
4958 Forest Ave, Downers Grove, IL 60515
Phone
(630) 737-1001
Enumerated
Mar 24, 2015
Record last updated
May 22, 2026
Fax
(630) 737-1003
Medicare enrollment
Enrolled (PECOS I20190816000173); accepts Medicare assignment
Medical or professional school
Loyola University Of Chicago, Stritch School Of Medicine, 2019
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 4958 Forest Ave

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

  1. Michael Macek, ODOptometrist1376550061
  2. Patricia Moser, O.D.Optometrist1376603746
  3. Sophia Sarkos, MDOphthalmology Physician1720017643

Verify Kimberly Jean Estes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036150045
    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 Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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48% fewer Medicare Part D claims than the average ophthalmology physician in 2024

790 Medicare Part D claims for 196 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 50% of claims.

  1. Kimberly Estes790
  2. Specialty average1,518

Most prescribed

  1. Latanoprost240 claims
  2. Prednisolone Acetate138 claims
  3. Moxifloxacin100 claims
  4. Ketorolac Tromethamine90 claims
  5. Dorzolamide-Timolol62 claims
  6. Dorzolamide Hcl27 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): 99.3 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 score100.0
  2. Costout of 100 · 30%97.6
  3. Promoting interoperabilitynot scored (reweighted)
  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: $94.10

5 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kimberly Estes$94.10
  2. Specialty average$4,535.02

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. Downers Grove Eye Center PCDowners Grove, IL

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

Kimberly Jean Estes among 898 ophthalmology physician records in Illinois

Kimberly Jean Estes, MD is one of 898 ophthalmology physician records with a practice address in Illinois. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 79% of them.

  • NPI issued2015 · 79% of these records are older, 18% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2019 · median 1999 among the 551 with a school on file
  • Record last updated2026 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Illinois

There are 898 ophthalmology physician records in Illinois.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Lise Guay-Bhatia, MDDowners Grove, IL 605151417993197
  2. Andrew Jilwan, M.D.Downers Grove, IL 605151851822241
  3. Daniel McLachlan, MDDowners Grove, IL 605151255302501
  4. Sophia Sarkos, MDDowners Grove, IL 605151720017643
  5. Amy Vandenbrook, M.D.Downers Grove, IL 605151760563639
  6. Kathleen Ackman Blake, MDHinsdale, IL 605211497734966
  7. Ranjana Chauhan, MDHinsdale, IL 605211093766594
  8. Bruce Larson, MDHinsdale, IL 605211932176773

Common questions

What is Kimberly Jean Estes, MD's NPI number?

Kimberly Jean Estes, MD's National Provider Identifier (NPI) is 1386038719, issued on Mar 24, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Kimberly Jean Estes, MD located?

The NPPES record lists a practice address at 4958 Forest Ave, Downers Grove, IL, 60515. Phone: (630) 737-1001. Providers update this record themselves, so call before visiting.

How can I verify Kimberly Jean Estes, MD's license?

NPPES lists Illinois license number 036150045, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kimberly Jean Estes, MD prescribe under Medicare Part D?

In 2024, Kimberly Jean Estes, MD had 790 Medicare Part D claims for 196 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Kimberly Jean Estes, MD's MIPS final score?

The 2023 MIPS final score is 99.3 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.