1. Home
  2. Directory
  3. Montana
  4. Great Falls
  5. Physician Assistant
  6. NPI Profile

ALICIA MARIE HAMILTON PA-C
NPI 1093943284
Physician Assistant in Great Falls, MT

Active since June 25, 2009PECOS Enrolled
87.26/100
CMS Quality Rating
2517 7TH AVE S STE A3, GREAT FALLS, MT 59405(406) 771-3454(406) 771-3131 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alicia Marie Hamilton Pa-c NPPES

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

ALICIA MARIE HAMILTON PA-C (NPI 1093943284) is an individual physician assistant in Great Falls, Montana, licensed in Montana (574) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093943284
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICIA MARIE HAMILTONCredential: PA-C
Location Address2517 7TH AVE S STE A3Great Falls, MT 59405-3033
Mailing Address2517 7th Ave S Ste A3Great Falls, MT 59405-3033 · (406) 952-4088
Phone(406) 771-3454
Fax(406) 771-3131
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1093943284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · 574
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2517 7TH AVE S STE A3, Great Falls, MT 59405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Marie Hamilton Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services19 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
21 services18 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.
20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims12 services$39.28 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$15.32 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers19 claims98 services$2.00 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$39.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers66 claims67 services$84.24 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,470 services$0.08 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.

BIG SKY FAMILY CARE
Physician Assistant (Medical)
2517 7TH AVE S STE A3
GREAT FALLS, MT 59405
Cascade County (406) 403-4798
MRS. BRITTNEY A HANTZ FNP
Nurse Practitioner (Family)
2517 7TH AVE S STE A3
GREAT FALLS, MT 59405
Cascade County (406) 770-3022
GENTLE BEGINNINGS FAMILY CARE LLC
Clinic/Center (Primary Care)
2517 7TH AVE S STE A3
GREAT FALLS, MT 59405
Cascade County (406) 770-3022

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 Alicia Hamilton's NPI number?

The NPI number for Alicia Hamilton is 1093943284. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Alicia Hamilton located?

Alicia Hamilton practices at 2517 7th Ave S Ste A3, Great Falls, MT 59405. The listed phone number is (406) 771-3454.

What is Alicia Hamilton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alicia Hamilton enrolled in Medicare?

Yes. Alicia Hamilton is registered in the Medicare PECOS enrollment system.

What insurance does Alicia Hamilton accept?

Health plans from Mountain Health CO-OP and Providence Health Plan list Alicia 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 Alicia Hamilton was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.