1. Home
  2. Directory
  3. Georgia
  4. Hiram
  5. Nurse Practitioner
  6. NPI Profile

MATTHEW LEE ESTES NP-C
NPI 1104213339
Nurse Practitioner in Hiram, GA

Active since April 26, 2015PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
148 BILL CARRUTH PKWY STE 220, HIRAM, GA 30141(770) 505-0023(770) 505-9003 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Lee Estes Np-c NPPES

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

MATTHEW LEE ESTES NP-C (NPI 1104213339) is an individual nurse practitioner in Hiram, Georgia, licensed in Georgia (RN184263) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104213339
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMATTHEW LEE ESTESCredential: NP-C
Location Address148 BILL CARRUTH PKWY STE 220Hiram, GA 30141
Mailing Address148 Bill Carruth Pkwy Ste 220Hiram, GA 30141-3756 · (770) 505-0023 · Fax (770) 505-9003
Phone(770) 505-0023
Fax(770) 505-9003
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 26, 2015
Last NPPES UpdateSeptember 5, 2018
✔ NPI 1104213339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN184263
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN184263 (GA)
148 BILL CARRUTH PKWY STE 220, Hiram, GA 30141
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Matthew Lee Estes Np-c 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 ID1658692231
PECOS Enrollment IDI20150608002073
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
183 services148 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
61 services55 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
45 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services36 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30141 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. KATHERINE F MAULT AU.D.
Audiologist
148 BILL CARRUTH PKWY STE 220
HIRAM, GA 30141
Paulding County (770) 505-0023
DEIDRA WHITE NP
Nurse Practitioner
148 BILL CARRUTH PKWY STE 220
HIRAM, GA 30141
Paulding County (770) 505-0023
DR. AIMEE JOHNSON KALTENBACH AUD
Audiologist
148 BILL CARRUTH PKWY STE 220
HIRAM, GA 30141
Paulding County (770) 505-0023

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 Matthew Estes's NPI number?

The NPI number for Matthew Estes is 1104213339. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Where is Matthew Estes located?

Matthew Estes practices at 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141. The listed phone number is (770) 505-0023.

What is Matthew Estes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Matthew Estes enrolled in Medicare?

Yes. Matthew Estes 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 Matthew Estes accept?

Health plans from Alliant Health Plans, Inc. list Matthew Estes 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 Matthew Estes affiliated with any hospitals?

According to CMS data, Matthew Estes is affiliated with Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Estes was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.