GRAHAM A. HAMILTON DPM
NPI 1124106927
Podiatrist - Foot & Ankle Surgery in Edinburg, TX

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
3804 S JACKSON RD STE 1, EDINBURG, TX 78539(956) 296-3001(956) 296-3000 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Feb 17, 2022, Feb 18, 2020 (3 updates tracked since 2020).

About Graham A. Hamilton Dpm NPPES

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

GRAHAM A. HAMILTON DPM (NPI 1124106927) is an individual foot & ankle surgery provider in Edinburg, Texas, licensed in Texas (3114) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of California School Of Podiatric Medicine (1996).

NPPES Registry Identity

NPI1124106927
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameGRAHAM A. HAMILTONCredential: DPM
Location Address3804 S JACKSON RD STE 1Edinburg, TX 78539-6681
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863
Fax(956) 296-3000
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1996
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1124106927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TX · 3114
Also ListedPodiatristTaxonomy 213E00000X · License 3114 (TX), E4101 (CA)
3804 S JACKSON RD STE 1, Edinburg, TX 78539

Secondary Practice Locations 2

Location 11310 Wonder World Dr Ste 115San Marcos, TX 78666-8351 · Phone (512) 301-5350 · Fax (512) 301-5395
Location 2701 S Zarzamora StSan Antonio, TX 78207-5209 · Phone (210) 358-7717

Other Identifiers 1

Medicaid000E41010CA

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

Graham A. Hamilton Dpm 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 ID8921268814
PECOS Enrollment IDI20220404000835
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 4

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 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.
36 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
25 services23 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.
13 services13 patients

Other Providers at the Same Location NPPES 11

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

Surgery (Surgical Oncology)
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Audiologist
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Orthopaedic Surgery (Sports Medicine)
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Physician Assistant (Surgical)
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Family Medicine (Sports Medicine)
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Podiatrist (Foot & Ankle Surgery)
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Otolaryngology
3804 S JACKSON RD STE 1
EDINBURG, TX 78539
Orthopaedic Surgery (Sports Medicine)
3804 S JACKSON RD STE 1
EDINBURG, TX 78539

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 Graham Hamilton's NPI number?

The NPI number for Graham Hamilton is 1124106927. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Graham Hamilton located?

Graham Hamilton practices at 3804 S Jackson Rd Ste 1, Edinburg, TX 78539. The listed phone number is (956) 296-3001.

What is Graham Hamilton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Graham Hamilton enrolled in Medicare?

Yes. Graham 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 Graham Hamilton accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Graham 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 Graham Hamilton was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.