MATTHEW ESTELL, NP
Nurse Practitioner in ASHEVILLE, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
MATTHEW ESTELL, NP reported a CMS MIPS final score of 93.5111/100 — above the 83.1 national average — and filed 983 Medicare Part D claims in 2023.
- 93.5111/100
- MIPS score · +10 vs avg
- 983
- Part D claims, 2023
- 99%
- generic prescribing
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.
MATTHEW ESTELL, NP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
94 Top 29% higher than 71% of 477,587 scored providers
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
What does the federal data show about MATTHEW ESTELL, NP?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in North Carolina
How Nurse Practitioner compares to other specialties among North Carolina providers
Nurse Practitioner share within North Carolina
Nurse Practitioner is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
MATTHEW ESTELL, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 93.5111/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) — 93.5111/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Nurse Practitioner US NPIs
93.5111/100 MIPS final score — 10.4 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Nurse Practitioner. Quality dim: 84.2392.
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).
MATTHEW ESTELL, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 21 TURTLE CREEK DR, ASHEVILLE, NC, 28803, with a listed phone of (828) 274-4555. NPI 1245682038 was issued on 07/06/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESTELL 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 983 prescription claims written by this provider, covering 360 Medicare beneficiaries and totaling roughly $16K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 23.3%. 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 93.5111/100 for the 2023 performance year (Quality 84.2392), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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
Provider Details
| NPI | 1245682038 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | NP |
| Gender | Male |
| NPI Issued | 07/06/2016 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MATTHEW ESTELL, NP's current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where MATTHEW ESTELL, NP 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
1% brand-name claims vs 99% generic, on 983 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,095
- Total Day Supply
- 19,285
- Brand vs Generic
- 1% brand / 99% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $10K
- Opioid Claims
- 229 (23.3% rate)
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 60, 65-74: 163, 75-84: 121, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What MATTHEW ESTELL, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
179 claims
- Methylprednisolone
Methylprednisolone
157 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
140 claims
- Diazepam
Diazepam
96 claims
- Methocarbamol
Methocarbamol
82 claims
- Gabapentin 53
Gabapentin
53 claims
- Celecoxib 43
Celecoxib
43 claims
- Meloxicam 33
Meloxicam
33 claims
| Drug | Claims |
|---|---|
| Cyclobenzaprine Hcl | 179 |
| Methylprednisolone | 157 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 140 |
| Diazepam | 96 |
| Methocarbamol | 82 |
| Gabapentin | 53 |
| Celecoxib | 43 |
| Meloxicam | 33 |
| Tramadol Hcl | 30 |
| Oxycodone Hcl | 29 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How MATTHEW ESTELL, NP fits within the Nurse Practitioner landscape nationally.
MATTHEW ESTELL, NP's 983 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as ESTELL.
Compare Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
What is MATTHEW ESTELL, NP's specialty? ▼
How much does MATTHEW ESTELL, NP prescribe under Medicare Part D? ▼
What is MATTHEW ESTELL, NP's Medicare quality score? ▼
Where is MATTHEW ESTELL, NP located? ▼
What is MATTHEW ESTELL, NP's NPI number? ▼
Does MATTHEW ESTELL, NP prescribe more brand-name or generic drugs? ▼
Does MATTHEW ESTELL, NP prescribe opioids? ▼
How many Nurse Practitioner providers are there in the US? ▼
What drugs does MATTHEW ESTELL, NP prescribe most often? ▼
Does MATTHEW ESTELL, NP accept Medicare? ▼
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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