STEPHEN HAMILTON MD
NPI 1083678577
Ophthalmology - Cornea and External Diseases Specialist in Auburn, AL

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
83.38/100
CMS Quality Rating
890 N DEAN RD STE 300, AUBURN, AL 36830(334) 364-3330(334) 364-3329 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Mar 5, 2019 (2 updates tracked since 2019).

About Stephen Hamilton Md NPPES

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

STEPHEN HAMILTON MD (NPI 1083678577) is an individual cornea and external diseases specialist in Auburn, Alabama, licensed in Alabama (MD.15229) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1083678577
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameSTEPHEN HAMILTONCredential: MD
Location Address890 N DEAN RD STE 300Auburn, AL 36830-9452
Mailing Address890 N Dean Rd Ste 300Auburn, AL 36830-9452 · (334) 364-3330 · Fax (334) 364-3329
Fax(334) 364-3329
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 13, 2006
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
NPI 1083678577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in AL · MD.15229
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD.15229 (AL)
890 N DEAN RD STE 300, Auburn, AL 36830

Other Identifiers 1

Medicaid000540328AGA

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

Stephen Hamilton Md 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 ID9032234653
PECOS Enrollment IDI20230220001349
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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
154 services98 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
112 services112 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
102 services100 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.
97 services59 patients
Removal of recurring cataract in lens capsule by stab incision 66820
This procedure involves making a small incision in the eye to remove a recurring cataract in the lens capsule. It's a targeted approach to improve vision by eliminating the cloudy area that obstructs light from reaching the retina.
39 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36830 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

83.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%41 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.

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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
890 N DEAN RD STE 300
AUBURN, AL 36830
Ophthalmology
890 N DEAN RD STE 300
AUBURN, AL 36830
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
890 N DEAN RD STE 300
AUBURN, AL 36830

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 Stephen Hamilton's NPI number?

The NPI number for Stephen Hamilton is 1083678577. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Stephen Hamilton located?

Stephen Hamilton practices at 890 N Dean Rd Ste 300, Auburn, AL 36830. The listed phone number is (334) 364-3330.

What is Stephen Hamilton's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Stephen Hamilton enrolled in Medicare?

Yes. Stephen 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 Stephen Hamilton accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Stephen 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.

When was this NPI record last updated?

The NPPES record for Stephen Hamilton was last updated on February 3, 2023. 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.