James Estipona, DO
NPI 1134689938ActiveIndividual· Family Medicine· Hershey, PA
Family Medicine (DO) in Hershey, Pennsylvania, trained at Lake Erie Col of Osteo Med at Seton Hill Univ (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $817,922 for 9,100 claims, against $169,843 paid for services in 2024. Exact Sciences Corporation was the largest of 9 companies reporting payments in 2024, $379.19 in all, mostly food and beverage.
Overview
| NPI | 1134689938 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 20, 2019 |
| Last updated in NPPES | Jul 30, 2025 |
| Certified by provider | Jul 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS024865 | PA |
| Family Medicine | 207Q00000X | 009767 | AZ |
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 - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 546 |
|---|---|
| Services billed | 3,583 across 64 procedure codes |
| Paid by Medicare | $169,843 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,100 · 23,769 30-day fills |
|---|---|
| Patients | 855 |
| Total drug cost | $817,922 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Lake Erie Col of Osteo Med at Seton Hill Univ |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Family Practice |
Medical group
- The Milton S Hershey Medical Center Physicians GroupHershey, PA · 1,623 clinicians
Hospital affiliations
- Milton S Hershey Medical CenterHershey, PA
- Mount Nittany Medical CenterState College, PA
Industry payments (Open Payments)
- 2024$379.19 · 20 payments from 9 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $76.98 | 4 |
| Pfizer Inc. | $73.36 | 4 |
| Novo Nordisk Inc | $64.19 | 3 |
| Astellas Pharma US Inc | $41.45 | 2 |
| Amgen Inc. | $35.62 | 2 |
What the 2024 payments were for
- Food and Beverage$379.19 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 69 family medicine physicians in Hershey · All family medicine physicians in Pennsylvania