Esther Makowski, CNP
NPI 1134598725ActiveIndividual· Nurse Practitioner, Gerontology· Cleveland, OH
Nurse Practitioner, Gerontology (CNP) with The Metrohealth System, practicing in Cleveland, Ohio. Their prescriptions cost Medicare Part D more than their services did: $301,746 for 66 claims, against $4,065 paid for services in 2024. Astellas Pharma US Inc was the largest of 7 companies reporting payments in 2025, $419.73 in all, mostly education. Lists Metrohealth System as a hospital affiliation.
Overview
| NPI | 1134598725 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Sep 24, 2015 |
| Last updated in NPPES | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | COA-17106 | OH |
| Nurse Practitioner | 363L00000X | COA-17106 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 72 across 9 procedure codes |
| Paid by Medicare | $4,065 |
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 84 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $301,746 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- The Metrohealth SystemCleveland, OH · 1,144 clinicians
Hospital affiliation
- Metrohealth SystemCleveland, OH
Industry payments (Open Payments)
- 2025$419.73 · 9 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $212.16 | 3 |
| Incyte Corporation | $99.00 | 1 |
| Beigene USA, Inc. | $32.13 | 1 |
| Astrazeneca Pharmaceuticals LP | $25.43 | 1 |
| Abbvie Inc. | $20.98 | 1 |
What the 2025 payments were for
- Education$281.98 · 3 payments
- Food and Beverage$137.75 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 61 gerontology nurse practitioners in Cleveland · All gerontology nurse practitioners in Ohio