2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1255352779 M.D.
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MELISA ESTES, M.D.

Physical Medicine & Rehabilitation Physician in PALM BEACH GARDENS, Florida. 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
2K
Medicare Part D claims · 611 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.028/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$125.58
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MELISA ESTES, M.D. reported a CMS MIPS final score of 79.028/100 — below the 83.1 national average — and filed 1,667 Medicare Part D claims in 2023.

79.028/100
MIPS score · -4 vs avg
2K
Part D claims, 2023
99%
generic prescribing
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.

MELISA ESTES, M.D.'s MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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)

MELISA ESTES, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 MELISA ESTES, M.D.?

Near national average

NPI registry status

Active

Issued 07/21/2006

NPI 1255352779

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

1,667 113% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

79.028/100 4.0719999999999885% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Physical Medicine & Rehabilitation Physician compares to other specialties among Florida providers

Florida providers

Physical Medicine & Rehabilitation Physician share within Florida

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Florida

Medicare quality performance — MIPS

MELISA ESTES, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Near national average
MIPS Final Score
79.028/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 79.028/100 vs national avg 83.1

0%100%National avg83%79%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 79.028/100 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).

MELISA ESTES, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 4215 BURNS ROAD, PALM BEACH GARDENS, FL, 33410, with a listed phone of (561) 694-7776. NPI 1255352779 was issued on 07/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESTES 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 1,667 prescription claims written by this provider, covering 611 Medicare beneficiaries and totaling roughly $32K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 6.8%. 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 79.028/100 for the 2023 performance year (Quality 61.869), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

4215 BURNS ROAD
PALM BEACH GARDENS, FL 33410

Provider Details

NPI 1255352779
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Female
NPI Issued 07/21/2006

CMS Quality Score (MIPS)

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

79.028
Final Score
Avg: 83.1
61.869
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MELISA ESTES, M.D. 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.

BIT PHYSICAL THERAPY
Palm Beach Gardens, FL
FAIRWAY PHYSICAL THERAPY LLC
PALM BEACH GARDENS, FL
PALM BEACH ORTHOPAEDIC INSTITUTE PA
PALM BEACH GARDENS, FL

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 MELISA ESTES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$126

Largest payer

Orthofix Medical, 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to MELISA ESTES, M.D.. To verify MELISA ESTES, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MELISA ESTES, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,667 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.

1,667
Total Claims
$32K
Total Drug Cost
611
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,902
Total Day Supply
43,410
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$12K
Generic Drug Cost
$21K
Opioid Claims
113 (6.8% rate)

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.06
Gender Split
62% female / 38% male
Age Distribution
<65: 16, 65-74: 292, 75-84: 243, 85+: 60

Top Prescribed Drugs (Medicare Part D)

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

What MELISA ESTES, M.D. 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
Gabapentin
495
Tizanidine Hcl
470
Methylprednisolone
243
Meloxicam
178
Tramadol Hcl
57
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
37
Diclofenac Sodium
26
Pregabalin
26
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
17
Lidocaine
13

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

Physical Medicine & Rehabilitation Physician Overview

How MELISA ESTES, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

MELISA ESTES, M.D.'s 1,667 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Florida

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISA ESTES, M.D.'s specialty?
MELISA ESTES, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in PALM BEACH GARDENS, Florida. Credentials: M.D..
How much does MELISA ESTES, M.D. prescribe under Medicare Part D?
In 2023, MELISA ESTES, M.D. wrote 1,667 Medicare Part D claims totaling $32K in drug costs for 611 beneficiaries.
What is MELISA ESTES, M.D.'s Medicare quality score?
MELISA ESTES, M.D. has a CMS MIPS Final Score of 79.028/100 (Quality: 61.869). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELISA ESTES, M.D. located?
MELISA ESTES, M.D. is located at 4215 BURNS ROAD, PALM BEACH GARDENS, FL, 33410. Phone: (561) 694-7776.
What is MELISA ESTES, M.D.'s NPI number?
MELISA ESTES, M.D.'s National Provider Identifier (NPI) is 1255352779, issued on 07/21/2006.
Does MELISA ESTES, M.D. prescribe more brand-name or generic drugs?
MELISA ESTES, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $12K in brand drug costs.
Does MELISA ESTES, M.D. prescribe opioids?
Yes, MELISA ESTES, M.D. had 113 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does MELISA ESTES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MELISA ESTES, M.D.'s most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISA ESTES, M.D. accept Medicare?
MELISA ESTES, M.D. appears in CMS Medicare data with 1,667 Part D claims and 611 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISA ESTES, M.D.'s credentials?
MELISA ESTES, M.D.'s NPI is 1255352779 with credentials M.D.. 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