TONY J HAMILTON DO
NPI 1063442358
Emergency Medicine in Fargo, ND

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
3000 32ND AVE S, FARGO, ND 58103(701) 364-8000(701) 364-8078 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tony J Hamilton Do NPPES

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

TONY J HAMILTON DO (NPI 1063442358) is an individual emergency medicine provider in Fargo, North Dakota, licensed in North Dakota (9964) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1063442358
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTONY J HAMILTONCredential: DO
Location Address3000 32ND AVE SFargo, ND 58103-6132
Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-3300 · Fax (701) 364-8906
Fax(701) 364-8078
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2001
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 25, 2012
NPI 1063442358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in ND · 9964
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3000 32ND AVE S, Fargo, ND 58103

Other Identifiers 11

Medicaid13442ND
OtherDA9011043845ND · Preferred One #
OtherHP52809ND · Healthpartners #
Other384M9HAND · Mnbs #
Medicare UPINH96500
Medicare ID-Type UnspecifiedP00236345ND · Rr Medicare #
Medicaid367123200ND
Other3901622ND · Medica #
Medicare PIN713122ND
Other2350624ND · America's Ppo/araz #
Medicare ID-Type Unspecified25581ND · Nd Medicare #

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

Tony J Hamilton Do 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 ID5698672251
PECOS Enrollment IDI20050622001066
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
211 services200 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
148 services136 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
82 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services24 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
3000 32ND AVE S
FARGO, ND 58103
Radiology (Diagnostic Radiology)
3000 32ND AVE S
FARGO, ND 58103
Occupational Therapist
3000 32ND AVE S
FARGO, ND 58103
Internal Medicine (Cardiovascular Disease)
3000 32ND AVE S
FARGO, ND 58103
Pharmacist
3000 32ND AVE S
FARGO, ND 58103
Surgery
3000 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Adult Health)
3000 32ND AVE S
FARGO, ND 58103
Hospitalist
3000 32ND AVE S
FARGO, ND 58103

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 Tony Hamilton's NPI number?

The NPI number for Tony Hamilton is 1063442358. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Tony Hamilton located?

Tony Hamilton practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.

What is Tony Hamilton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tony Hamilton enrolled in Medicare?

Yes. Tony 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 Tony Hamilton accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Tony 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 Tony Hamilton affiliated with any hospitals?

According to CMS data, Tony Hamilton is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Tony Hamilton was last updated on April 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.