KIMBERLY EVONNE MILLER-HAMMOND MD
NPI 1164665428
Surgery in Mount Vernon, IL

Q: What is Kimberly Miller-hammond's NPI number?

The NPI number for Kimberly Miller-hammond is 1164665428. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Q: What is Kimberly Miller-hammond's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 15, 2009PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(770) 617-5556 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Evonne Miller-hammond Md NPPES

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

KIMBERLY EVONNE MILLER-HAMMOND MD (NPI 1164665428) is an individual surgery provider in Mount Vernon, Illinois, licensed in Illinois (036159613) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Morehouse School Of Medicine (2009).

NPPES Registry Identity

NPI1164665428

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameKIMBERLY EVONNE MILLER-HAMMONDCredential: MD

Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402

Mailing Address1 Good Samaritan WayMount Vernon, IL 62864-2402 · (770) 617-5556

Phone(770) 617-5556

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2009

Enumeration DateApril 15, 2009

Last NPPES UpdateJune 15, 2022

NPPES CertifiedJune 15, 2022

✔ NPI 1164665428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IL · 036159613✔ Licensed in SC · TL37495

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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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

Kimberly Evonne Miller-hammond 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 ID7517289846

PECOS Enrollment IDI20190117003507

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.

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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 $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

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.

DR. EMMANUEL LOUTRIANAKIS MD

Internal Medicine (Interventional Cardiology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (847) 736-0506

DR. QING KEVIN LUO M.D.

Internal Medicine

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Rehabilitation Unit

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

ADELAIDE HORCHER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

MRS. JILL CLARKE PHARM. D.

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

KENT S QUINN MD

Radiology (Body Imaging)

1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Specialist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4600

DEREK BURNS PHARMD

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

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 Kimberly Miller-hammond's NPI number?

The NPI number for Kimberly Miller-hammond is 1164665428. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Kimberly Miller-hammond located?

Kimberly Miller-hammond practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (770) 617-5556.

What is Kimberly Miller-hammond's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kimberly Miller-hammond enrolled in Medicare?

Yes. Kimberly Miller-hammond 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.

Is Kimberly Miller-hammond affiliated with any hospitals?

According to CMS data, Kimberly Miller-hammond is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Miller-hammond was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.