1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Pathology
  6. NPI Profile

DR. OSCAR CINCO ESTALILLA MD
NPI 1023055209
Pathology - Anatomic Pathology & Clinical Pathology in Charleston, WV

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304(304) 388-5550(304) 388-4352 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Oscar Cinco Estalilla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OSCAR CINCO ESTALILLA MD (NPI 1023055209) is an individual anatomic pathology & clinical pathology provider in Charleston, West Virginia, licensed in West Virginia (20193) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1023055209
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. OSCAR CINCO ESTALILLACredential: MD
Location Address3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENTCharleston, WV 25304
Mailing Address415 Morris Street, Suite 304Charleston, WV 25301 · (304) 388-7782 · Fax (304) 388-7788
Phone(304) 388-5550
Fax(304) 388-4352
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 15, 2010
✔ NPI 1023055209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in WV · 20193✔ Licensed in PA · MD 067762 L✔ Licensed in TX · K8137
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3200 MACCORKLE AVENUE SE, Charleston, WV 25304
Open in Google Maps ↗

Other Identifiers 4

Medicare UPING97524
Medicare PINES7285371
Medicare UPINP00827253
Medicare PINES4280441

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Oscar Cinco Estalilla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527152602
PECOS Enrollment IDI20070920000084
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
125 services113 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
95 services20 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
73 services20 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
59 services55 patients
Flow cytometry technique for dna or cell analysis, 2 to 8 markers 88187
Flow cytometry is a technique that helps analyze your cells and DNA. It uses lasers to identify and sort cells based on their properties, marked by up to 8 different markers. This helps in diagnosing and monitoring various health conditions.
39 services31 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
37 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM M. OSCANYAN D.D.S.
Dentist
3200 MACCORKLE AVENUE SE, CAMC DENTAL CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-9335
DAVID A. HANSEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
RAMANDEEP KAUR BOLLA MD
Student in an Organized Health Care Education/Training Program
3200 MACCORKLE AVENUE SE, 5TH FLOOR ROBERT C. BYRD CLINICAL TEACHING CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
MRS. LINDA L BOOTH FNP-BC
Nurse Practitioner (Family)
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. M. BASHAR SHAALAN MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. DARLENE Y. GRUETTER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
DR. ADNAN M. NAHLA MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
SANDRA Y ELLIOTT MD
Internal Medicine (Infectious Disease)
3200 MACCORKLE AVENUE SE, CAMC OUTPATIENT CLINICS
CHARLESTON, WV 25304
Kanawha County (304) 388-5590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oscar Estalilla's NPI number?

The NPI number for Oscar Estalilla is 1023055209. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Oscar Estalilla located?

Oscar Estalilla practices at 3200 Maccorkle Avenue SE Pathology Department, Charleston, WV 25304. The listed phone number is (304) 388-5550.

What is Oscar Estalilla's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Oscar Estalilla enrolled in Medicare?

Yes. Oscar Estalilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Oscar Estalilla accept?

Health plans from CareSource list Oscar Estalilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Oscar Estalilla affiliated with any hospitals?

According to CMS data, Oscar Estalilla is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Oscar Estalilla was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.