DR. KIMBERLY JEAN ESTES MD
NPI 1386038719
Ophthalmology in Downers Grove, IL

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
99.26/100
CMS Quality Rating
4958 FOREST AVE, DOWNERS GROVE, IL 60515(630) 737-1001(630) 737-1003 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Jul 3, 2019, Mar 24, 2016 (3 updates tracked since 2016).

About Dr. Kimberly Jean Estes Md NPPES

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

DR. KIMBERLY JEAN ESTES MD (NPI 1386038719) is an individual ophthalmology provider in Downers Grove, Illinois, licensed in Illinois (036150045) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2019).

NPPES Registry Identity

NPI1386038719
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. KIMBERLY JEAN ESTESCredential: MD
Location Address4958 FOREST AVEDowners Grove, IL 60515-3508
Mailing Address4958 Forest AveDowners Grove, IL 60515-3508 · (630) 737-1001 · Fax (630) 737-1003
Fax(630) 737-1003
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2019
Enumeration DateMarch 24, 2015
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1386038719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036150045
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4958 FOREST AVE, Downers Grove, IL 60515

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. Kimberly Jean Estes 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 ID5496048514
PECOS Enrollment IDI20190816000173
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
300 services246 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
180 services139 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
169 services118 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
131 services116 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
106 services102 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
90 services55 patients

Hospital Affiliations CMS Care Compare

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

99.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost97.55

Other Providers at the Same Location NPPES 5

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

Ophthalmology
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Optometrist
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Optometrist
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Ophthalmology
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Optometrist
4958 FOREST AVE
DOWNERS GROVE, IL 60515

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 Kimberly Estes's NPI number?

The NPI number for Kimberly Estes is 1386038719. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Kimberly Estes located?

Kimberly Estes practices at 4958 Forest Ave, Downers Grove, IL 60515. The listed phone number is (630) 737-1001.

What is Kimberly Estes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kimberly Estes enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Estes affiliated with any hospitals?

According to CMS data, Kimberly Estes is affiliated with Adventist Hinsdale Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Estes was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.