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

Q: 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.

Q: What is Tony Hamilton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tony Hamilton was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 03, 2006PECOS Enrolled

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: October 18, 2026.

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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.

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

Phone(701) 364-8000

Fax(701) 364-8078

Sole ProprietorNo

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony J Hamilton Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tony Hamilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovis Health, LLC

0.1 mi

General Acute Care Hospital

3000 32ND AVE S
Fargo, ND 58103

Reassigned Medicare billing, North Dakota enrollment
617 clinicians in this Medicare group

NPI 1215125463 (701) 364-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

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