DAVID L HAMILTON M.D.
NPI 1174550891
Internal Medicine in Rochester, NY

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
2400 S CLINTON AVE, BLDG H SUITE 230, ROCHESTER, NY 14618(585) 341-7220(585) 325-6051 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David L Hamilton M.d. NPPES

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

DAVID L HAMILTON M.D. (NPI 1174550891) is an individual internal medicine provider in Rochester, New York, licensed in New York (131889) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of New York University School Of Medicine (1974).

NPPES Registry Identity

NPI1174550891
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID L HAMILTONCredential: M.D.
Location Address2400 S CLINTON AVE, BLDG H SUITE 230Rochester, NY 14618-2668
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001
Fax(585) 325-6051
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1974
Enumeration DateJune 27, 2006
Last NPPES UpdateJune 29, 2023
NPI 1174550891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 131889
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 131889 (NY)
2400 S CLINTON AVE, Rochester, NY 14618

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

David L Hamilton M.d. 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 ID2264457126
PECOS Enrollment IDI20051010000694
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 2

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.
32 services31 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

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.

Internal Medicine
2400 S CLINTON AVE, BUILDING H, SUITE 210
ROCHESTER, NY 14618
Family Medicine
2400 S CLINTON AVE, BLDG H STE 230
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG H SUITE 230
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG G-2
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BUILDING H, SUITE 230
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG H SUITE 210
ROCHESTER, NY 14618
Nurse Practitioner
2400 S CLINTON AVE, BLDG H SUITE 210
ROCHESTER, NY 14618

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 David Hamilton's NPI number?

The NPI number for David Hamilton is 1174550891. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is David Hamilton located?

David Hamilton practices at 2400 S Clinton Ave Bldg H Suite 230, Rochester, NY 14618. The listed phone number is (585) 341-7220.

What is David Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Hamilton enrolled in Medicare?

Yes. David 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.

Is David Hamilton affiliated with any hospitals?

According to CMS data, David Hamilton is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Hamilton was last updated on June 29, 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.