TERESA M ESTERLE M.D.
NPI 1235168824
Pediatrics in Cincinnati, OH

Q: What is Teresa Esterle's NPI number?

The NPI number for Teresa Esterle is 1235168824. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Teresa Esterle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: Is Teresa Esterle enrolled in Medicare?

No. Teresa Esterle has opted out of Medicare through November 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Teresa Esterle was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 03, 2006Opted out of Medicare · through Nov 29, 2026

6400 E GALBRAITH RD, CINCINNATI, OH 45236(513) 791-5521(513) 342-5395 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Teresa M Esterle M.d. NPPES

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

TERESA M ESTERLE M.D. (NPI 1235168824) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35-07-1189) and active in the NPI registry since July 2006. She has opted out of Medicare through November 29, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235168824

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTERESA M ESTERLECredential: M.D.

Location Address6400 E GALBRAITH RDCincinnati, OH 45236-2268

Mailing Address6400 E Galbraith RdCincinnati, OH 45236-2268 · (513) 791-5521 · Fax (513) 342-5395

Phone(513) 791-5521

Fax(513) 342-5395

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateOctober 28, 2022

NPPES CertifiedOctober 28, 2022

✔ NPI 1235168824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35-07-1189

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6400 E GALBRAITH RD, Cincinnati, OH 45236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Teresa M Esterle M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 29, 2016 through November 29, 2026.

Opt-Out Effective DateNovember 29, 2016

Opt-Out In Effect ThroughNovember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 8

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

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