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DR. FRANCIS V ESTALILLA M.D.
NPI 1811051881
Ophthalmology in Aberdeen, WA

Active since December 21, 2006PECOS Enrolled
20.01/100
CMS Quality Rating
1720 SUMNER AVE, ABERDEEN, WA 98520(360) 532-1930(360) 532-1963 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Francis V Estalilla M.d. NPPES

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

DR. FRANCIS V ESTALILLA M.D. (NPI 1811051881) is an individual ophthalmology provider in Aberdeen, Washington, licensed in Washington (MD00032016) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811051881
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. FRANCIS V ESTALILLACredential: M.D.
Location Address1720 SUMNER AVEAberdeen, WA 98520-4616
Mailing Address1720 Sumner AveAberdeen, WA 98520-4616 · (360) 532-1930 · Fax (360) 532-1963
Phone(360) 532-1930
Fax(360) 532-1963
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1811051881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WA · MD00032016
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.
1720 SUMNER AVE, Aberdeen, WA 98520
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Other Identifiers 2

Medicaid7063290WA
Medicare UPINF84019WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Francis V Estalilla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
528 services417 patients
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.
469 services463 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.
168 services168 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
100 services75 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).
94 services94 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.
94 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98520 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

20.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost66.72

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers17 claims17 services$49.85 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims24 services$24.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

BIJAN SHEIKHIZADEH DPM INC PC
Podiatrist (Foot & Ankle Surgery)
1720 SUMNER AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7388
HARBOR OPHTHALMOLOGY
Ophthalmology
1720 SUMNER AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 532-1930
BIJAN SHEIKHIZADEH DPM
Podiatrist
1720 SUMNER AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7388
BIJAN SHEIKHIZADEH DPM INC PC
Durable Medical Equipment & Medical Supplies
1720 SUMNER AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7388

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 Francis Estalilla's NPI number?

The NPI number for Francis Estalilla is 1811051881. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Francis Estalilla located?

Francis Estalilla practices at 1720 Sumner Ave, Aberdeen, WA 98520. The listed phone number is (360) 532-1930.

What is Francis Estalilla's specialty?

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

Is Francis Estalilla enrolled in Medicare?

Yes. Francis Estalilla is registered in the Medicare PECOS enrollment system.

What insurance does Francis Estalilla accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Francis 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.

When was this NPI record last updated?

The NPPES record for Francis Estalilla was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.