RICHARD J HAMILTON MD
NPI 1205878204
Emergency Medicine in Philadelphia, PA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5292(215) 246-5793 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 10, 2023, Feb 7, 2019 (2 updates tracked since 2019).

About Richard J Hamilton Md NPPES

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

RICHARD J HAMILTON MD (NPI 1205878204) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA12906100) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2021).

NPPES Registry Identity

NPI1205878204
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRICHARD J HAMILTONCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Fax(215) 246-5793
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2021
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1205878204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NJ · 25MA12906100 Licensed in PA · MD043517E
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License MD043517E (PA)
160 E ERIE AVE, Philadelphia, PA 19134

Other Identifiers 1

Medicaid824071NJ

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

Richard J 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 ID1254395692
PECOS Enrollment IDI20251110002858
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
79 services77 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Richard Hamilton's NPI number?

The NPI number for Richard Hamilton is 1205878204. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Richard Hamilton located?

Richard Hamilton practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5292.

What is Richard Hamilton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Richard Hamilton enrolled in Medicare?

Yes. Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Hamilton was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.