Shaily Estrella, PAC
Medical Physician Assistant in Winston-Salem, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Shaily Estrella, PAC filed 282 Medicare Part D claims in 2023 as a Medical Physician Assistant in Winston-Salem, North Carolina, prescribing 77% generic.
- 282
- Part D claims, 2023
- 77%
- generic prescribing
- $485.72
- industry payments (Sunshine Act)
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.
Shaily Estrella, PAC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
282 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Shaily Estrella, PAC?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in North Carolina
How Medical Physician Assistant compares to other specialties among North Carolina providers
Medical Physician Assistant ranks #28 among North Carolina's specialties (0.9% of in-state providers)
Each bar is a specialty's share of the North Carolina provider total, by primary NUCC taxonomy. The highlighted bar is Medical Physician Assistant; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Medical Physician Assistant. Verify directly:
How MIPS and board certification work
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).
Shaily Estrella, PAC appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PAC credentials at MEDICAL CENTER BLVD, Winston-Salem, NC, 27157, with a listed phone of (336) 716-2255. NPI 1215916531 was issued on 01/13/2006.
Medicare Part D records for calendar year 2023 show 282 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $55K in drug spend, split 23% brand-name and 77% generic by claim count.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 enrolled providers across 55 states and an average of 1,077 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 | 1215916531 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PAC |
| Gender | Female |
| NPI Issued | 01/13/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Shaily Estrella, PAC'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
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1215916531 is the unique 10-digit identifier CMS uses to link Estrella across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
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 Shaily Estrella, PAC. Source: openpaymentsdata.cms.gov.
Total received
$486
Largest payer
Medtronic, 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.
Brand vs generic prescribing mix · Typical
23% brand-name claims vs 77% generic, on 282 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
- 506
- Total Day Supply
- 13,737
- Brand vs Generic
- 23% brand / 77% generic
- Brand Drug Cost
- $39K
- Generic Drug Cost
- $16K
Patient Demographics
- Average Patient Age
- 61.4 years
- Avg HCC Risk Score
- 9.97
- Gender Split
- 43% female / 57% male
- Age Distribution
- <65: 50, 65-74: 18, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Shaily Estrella, PAC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
35 claims
- Clinolipid
Clinolipid
28 claims
- Sevelamer Carbonate
Sevelamer Carbonate
27 claims
- Warfarin Sodium
Warfarin Sodium
23 claims
- Gabapentin
Gabapentin
17 claims
- Calcium Acetate
Calcium Acetate
15 claims
- Lanthanum Carbonate 11
Lanthanum Carbonate
11 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 35 |
| Clinolipid Fat Emulsion/Olive/Soy/Phospho | 28 |
| Sevelamer Carbonate | 27 |
| Warfarin Sodium | 23 |
| Gabapentin | 17 |
| Calcium Acetate | 15 |
| Lanthanum Carbonate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How Shaily Estrella, PAC fits within the Medical Physician Assistant landscape nationally.
Shaily Estrella, PAC's 282 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Estrella.
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- 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.
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.
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