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DR. JOHN KENT HAMILTON M.D.
NPI 1033179213
Internal Medicine - Gastroenterology in Dallas, TX

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
3417 GASTON AVENUE, SUITE 790, DALLAS, TX 75246(214) 821-5266(214) 821-0459 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2022, Sep 25, 2020, Jan 18, 2017 (3 updates tracked since 2017).

About Dr. John Kent Hamilton M.d. NPPES

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

DR. JOHN KENT HAMILTON M.D. (NPI 1033179213) is an individual gastroenterology provider in Dallas, Texas, licensed in Texas (E4852) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1971).

NPPES Registry Identity

NPI1033179213
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN KENT HAMILTONCredential: M.D.
Location Address3417 GASTON AVENUE, SUITE 790Dallas, TX 75246
Mailing Address7610 N Stemmons Fwy Ste 600Dallas, TX 75247-4228 · (214) 689-5960 · Fax (469) 713-8084
Phone(214) 821-5266
Fax(214) 821-0459
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1971
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1033179213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · E4852
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3417 GASTON AVENUE, Dallas, TX 75246
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Other Identifiers 2

Medicaid102733601TX
Other83Y788TX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

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. John Kent Hamilton 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 ID345295317
PECOS Enrollment IDI20050314000461
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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services19 patients

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
78%366 patients4/55-star benchmark: 100%
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
100%60 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%971 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
57%381 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%31 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
26%284 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
79%678 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%284 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%284 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

DR. ELIZABETH ANNE ODSTRCIL M.D.
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 821-5266
ANNA PEARSON GRESHAM FNP
Nurse Practitioner (Family)
3417 GASTON AVENUE, SUITE 700
DALLAS, TX 75246
Dallas County (214) 823-4800
DR. ANGELA ANDERSON CAROLLO M.D.
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 821-5266
DR. CATHERINE MARY YAUSSY M.D.
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 821-5266
DR. HEMANGI KALE MD
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 821-5266
DR. SARITA GAYLE MD
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 821-5266
DR. ROBERT DOUGLAS ANDERSON M.D.
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 821-5266
DR. KATHERINE H LITTLE M.D.
Internal Medicine (Gastroenterology)
3417 GASTON AVENUE, SUITE 790
DALLAS, TX 75246
Dallas County (214) 545-3990

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 John Hamilton's NPI number?

The NPI number for John Hamilton is 1033179213. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is John Hamilton located?

John Hamilton practices at 3417 Gaston Avenue Suite 790, Dallas, TX 75246. The listed phone number is (214) 821-5266.

What is John Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Hamilton enrolled in Medicare?

Yes. John Hamilton 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.

What insurance does John Hamilton accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list John Hamilton 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.

Is John Hamilton affiliated with any hospitals?

According to CMS data, John Hamilton is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for John Hamilton was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.