DR. JAMES H. ESTHER (M.D.) – Rheumatology Physician, NPI 1609838309
Rheumatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
152 RHEUMATOLOGY in MO
Provider Addresses for DR. JAMES H. ESTHER (M.D.)
226 S WOODS MILL RD STE 43
CHESTERFIELD, MO 630173663
Phone: (314) 205-6444
Fax: (314) 205-6433
Type: Location
226, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
SUITE 43 WEST
CHESTERFIELD, MO 630173662
Phone: (314) 205-6444
Fax: (314) 205-6433
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 184 Open Payments records for all available years, with a total value of $3,331.
Total Amount is formed as General ($3,331) + Research ($0) + Ownership ($0) = $3,331.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($770).
Total Amount
$3,331
General + Research + Ownership
Payments
184
Total payment records
General Amount
$3,331
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $770 |
| Janssen Biotech, Inc. | $415 |
| Amgen Inc. | $371 |
| ABBVIE INC. | $356 |
| Novartis Pharmaceuticals Corporation | $195 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050915000368 | I | Rheumatology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 751 | 529 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 219 | 217 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 99 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 31 | $0 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 63017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Rheumatology, Internal Medicine | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO |
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