MR. LANCE LEE HAMILTON M.D.
NPI 1053309898
Internal Medicine in Bentonville, AR

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
2618 SE J ST, STE 12, BENTONVILLE, AR 72712(479) 715-6505(479) 340-0015 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2019, Aug 20, 2016 (2 updates tracked since 2016).

About Mr. Lance Lee Hamilton M.d. NPPES

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

MR. LANCE LEE HAMILTON M.D. (NPI 1053309898) is an individual internal medicine provider in Bentonville, Arkansas, licensed in Arkansas (N8166) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sequoyah County-city Of Sallisaw Hospital Authorit, and is a graduate of University Of Oklahoma College Of Medicine (1988).

NPPES Registry Identity

NPI1053309898
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. LANCE LEE HAMILTONCredential: M.D.
Location Address2618 SE J ST, STE 12Bentonville, AR 72712-3857
Mailing Address2618 Se J St, Ste 12Bentonville, AR 72712-3857 · (479) 715-6505 · Fax (479) 340-0015
Fax(479) 340-0015
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1988
Enumeration DateOctober 6, 2005
Last NPPES UpdateDecember 17, 20192 updates tracked since enumeration
NPI 1053309898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AR · N8166
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2618 SE J ST, Bentonville, AR 72712

Other Identifiers 3

Medicaid121148801AR
Medicaid100125440AOK
Medicaid121148001AR

Accepted 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

Mr. Lance Lee 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 ID1658356456
PECOS Enrollment IDI20040623001498
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
395 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
249 services109 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
235 services133 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
149 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
138 services59 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
97 services86 patients

Hospital Affiliations CMS Care Compare

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

Sequoyah County-City Of Sallisaw Hospital Authorit

Acute Care Hospitals · Sallisaw, OK
OwnershipGovernment - Local
CMS Certification Number370112
Location213 East RedwoodSallisaw, OK 74955 · Sequoyah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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…
100%74 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier13 claims13 services$3.54 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$8.51 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier17 claims340 services$3.47 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier14 claims350 services$0.21 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$59.69 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$17.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Acute Care)
2618 SE J ST
BENTONVILLE, AR 72712
Internal Medicine (Nephrology)
2618 SE J ST, SUITE#4
BENTONVILLE, AR 72712
Internal Medicine (Nephrology)
2618 SE J ST, SUITE # 2 & 4
BENTONVILLE, AR 72712

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 Lance Hamilton's NPI number?

The NPI number for Lance Hamilton is 1053309898. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Lance Hamilton located?

Lance Hamilton practices at 2618 SE J St Ste 12, Bentonville, AR 72712. The listed phone number is (479) 715-6505.

What is Lance Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lance Hamilton enrolled in Medicare?

Yes. Lance 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 Lance Hamilton accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Lance 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 Lance Hamilton affiliated with any hospitals?

According to CMS data, Lance Hamilton is affiliated with Sequoyah County-City Of Sallisaw Hospital Authorit.

When was this NPI record last updated?

The NPPES record for Lance Hamilton was last updated on December 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.