PENNY J0 HAMILTON-GAERTNER MD
NPI 1205899093
Emergency Medicine in Raleigh, NC

Q: What is Penny Hamilton-gaertner's NPI number?

The NPI number for Penny Hamilton-gaertner is 1205899093. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Penny Hamilton-gaertner's specialty?

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

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment

3000 NEW BERN AVE, RALEIGH, NC 27610(843) 237-3378(843) 237-5073 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Penny J0 Hamilton-gaertner Md NPPES

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

PENNY J0 HAMILTON-GAERTNER MD (NPI 1205899093) is an individual emergency medicine provider in Raleigh, North Carolina, licensed in North Carolina (9701384) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1205899093

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NamePENNY J0 HAMILTON-GAERTNERCredential: MD

Location Address3000 NEW BERN AVERaleigh, NC 27610-1231

Mailing AddressPo Box 60968Charlotte, NC 28260-0968 · (843) 237-3378 · Fax (843) 237-5073

Phone(843) 237-3378

Fax(843) 237-5073

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1996

Enumeration DateApril 11, 2006

Last NPPES UpdateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1205899093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in NC · 9701384✔ Licensed in SC · 91728

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.

3000 NEW BERN AVE, Raleigh, NC 27610

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Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 350Columbia, SC 29203-6896 · Phone (803) 434-1663 · Fax (803) 434-3894

Other Identifiers 4

Other930076007NC · Railroad

Medicaid8911661NC

Other11661NC · Bcbs

MedicaidQ0138ASC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Penny J0 Hamilton-gaertner 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 ID5193786754

PECOS Enrollment IDI20041026000958

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.

Medicare Billing Reassignments

Medicare enrollment records show Penny Hamilton-gaertner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Emergency Physicians PA

Same address

Emergency Medicine

3000 NEW BERN AVE
Raleigh, NC 27610

Reassigned Medicare billing, North Carolina enrollment
182 clinicians in this Medicare group

NPI 1922063387 (843) 237-3378

The Carolinas Emergency Group, PLLC

33 mi

Emergency Medicine

800 TILGHMAN DR
Dunn, NC 28334

Reassigned Medicare billing, North Carolina enrollment
373 clinicians in this Medicare group

NPI 1477508836 (910) 892-7161

Columbus Emergency Group LLC

100 mi

Emergency Medicine

500 JEFFERSON ST
Whiteville, NC 28472

Reassigned Medicare billing, North Carolina enrollment
60 clinicians in this Medicare group

NPI 1588813786 (910) 642-8011

Emergency Medicine Physicians Of Mecklenburg County, PLLC

137 mi

Emergency Medicine

10628 PARK RD
Charlotte, NC 28210

Reassigned Medicare billing, North Carolina enrollment
230 clinicians in this Medicare group

NPI 1912232182 (330) 493-4443

Palmetto Health - University Of South Carolina Medical Group

162 mi

Family Medicine

115 N SUMTER ST STE 315
Sumter, SC 29150

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Prisma Health Medical Group-Midlands
1,466 clinicians in this Medicare group

NPI 1295211894 (803) 934-0810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

172 services171 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

171 services161 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.

56 services54 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.

49 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340027

Location100 Airport RdKinston, NC 28501 · Lenoir County

Emergency services Birthing friendly

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340075

Location2201 S Sterling StMorganton, NC 28655 · Burke County

Emergency services Birthing friendly

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340109

Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County

Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340173

Location1900 Kildare Farm RoadCary, NC 27518 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

JILL M PAPPALARDI M.D.

Hospitalist