DR. ARDELLE B ESTOESTA M.D.
NPI 1851022529
Family Medicine in Decatur, IL

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
4775 E MARYLAND ST, DECATUR, IL 62521(217) 864-3737(217) 864-3468 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ardelle B Estoesta M.d. NPPES

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

DR. ARDELLE B ESTOESTA M.D. (NPI 1851022529) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036176180) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851022529
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ARDELLE B ESTOESTACredential: M.D.
Location Address4775 E MARYLAND STDecatur, IL 62521-8820
Mailing Address4775 E Maryland StDecatur, IL 62521-8820 · (217) 864-3737 · Fax (217) 864-3468
Fax(217) 864-3468
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2022
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
NPI 1851022529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036176180
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4775 E MARYLAND ST, Decatur, IL 62521

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. Ardelle B Estoesta M.d. 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 ID5890176960
PECOS Enrollment IDI20250818004337
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.

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 7

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

Dietitian, Registered
4775 E MARYLAND ST
DECATUR, IL 62521
Physician Assistant
4775 E MARYLAND ST
DECATUR, IL 62521
Family Medicine
4775 E MARYLAND ST
DECATUR, IL 62521
Family Medicine
4775 E MARYLAND ST
DECATUR, IL 62521
Nurse Practitioner (Family)
4775 E MARYLAND ST
DECATUR, IL 62521
Family Medicine
4775 E MARYLAND ST
DECATUR, IL 62521
Internal Medicine
4775 E MARYLAND ST
DECATUR, IL 62521

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 Ardelle Estoesta's NPI number?

The NPI number for Ardelle Estoesta is 1851022529. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Ardelle Estoesta located?

Ardelle Estoesta practices at 4775 E Maryland St, Decatur, IL 62521. The listed phone number is (217) 864-3737.

What is Ardelle Estoesta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ardelle Estoesta enrolled in Medicare?

Yes. Ardelle Estoesta 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 Ardelle Estoesta affiliated with any hospitals?

According to CMS data, Ardelle Estoesta is affiliated with Decatur Memorial Hospital and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Ardelle Estoesta was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.