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MICHAEL W. ESTES NP-C
NPI 1679826192
Nurse Practitioner in Wheeling, WV

Active since October 22, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
7 E COVE AVE, WHEELING, WV 26003(304) 242-4601(304) 242-3765 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael W. Estes Np-c NPPES

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

MICHAEL W. ESTES NP-C (NPI 1679826192) is an individual nurse practitioner in Wheeling, West Virginia, licensed in West Virginia (71593) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679826192
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL W. ESTESCredential: NP-C
Location Address7 E COVE AVEWheeling, WV 26003-5024
Mailing Address109 Mount Wood RdWheeling, WV 26003-2632 · (304) 233-2455 · Fax (304) 233-6073
Phone(304) 242-4601
Fax(304) 242-3765
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 22, 2012
Last NPPES UpdateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1679826192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 71593
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.
7 E COVE AVE, Wheeling, WV 26003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael W. 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 ID1254583594
PECOS Enrollment IDI20121212000349
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Estes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital Inc
2.6 mi
Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1548923923 (304) 243-3000
West Virginia University Hospitals, Inc
46 mi
General Acute Care Hospital
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 123 clinicians in this Medicare group
NPI 1841271459 (304) 598-4032

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services25 patients

Hospital Affiliations CMS Care Compare

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%25 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

CAMERON KALINSKI FNP-BC
Nurse Practitioner (Family)
7 E COVE AVE
WHEELING, WV 26003
Ohio County (304) 242-0770
ADAM M. TURALINSKI M.D.
Family Medicine
7 E COVE AVE
WHEELING, WV 26003
Ohio County (304) 242-0770
JAMES L COMERCI MD
Clinic/Center
7 E COVE AVE
WHEELING, WV 26003
Ohio County (304) 242-5056
WHEELING HOSPITAL, INC.
Family Medicine
7 E COVE AVE
WHEELING, WV 26003
Ohio County (304) 242-0770
JAMES LOUIS COMERCI MD
Family Medicine
7 E COVE AVE
WHEELING, WV 26003
Ohio County (304) 242-5056
DANIEL W WILSON M D PLLC
Family Medicine (Hospice and Palliative Medicine)
7 E COVE AVE, SUITE B
WHEELING, WV 26003
Ohio County (304) 242-4601
PAMELA CORDER NP
Nurse Practitioner (Family)
7 E COVE AVE
WHEELING, WV 26003
Ohio County (304) 242-0770

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 Michael Estes's NPI number?

The NPI number for Michael Estes is 1679826192. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Michael Estes located?

Michael Estes practices at 7 E Cove Ave, Wheeling, WV 26003. The listed phone number is (304) 242-4601.

What is Michael Estes's specialty?

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

Is Michael Estes enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Estes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Estes reassigns Medicare benefits to 2 organizations: Wheeling Hospital Inc (Wheeling, WV) and West Virginia University Hospitals, Inc (Morgantown, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Estes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Estes accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Michael 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 Michael Estes affiliated with any hospitals?

According to CMS data, Michael Estes is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Michael Estes was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.