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

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: July 19, 2026.

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
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

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, and ordering and referring status from the CMS PECOS system.

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, I20240507000501
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
253 services235 patients
Emergency department visit for life threatening or functioning severity 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.
127 services126 patients
Emergency department visit for problem of high severity 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.
55 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.
44 services44 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services15 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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter 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.

Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Internal Medicine (Clinical Cardiac Electrophysiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205899093, enumerated as an "individual" on April 11, 2006.

The provider is located at 3000 NEW BERN AVE RALEIGH, NC 27610 and the phone number is (843) 237-3378.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.

Penny Hamilton-gaertner is affiliated with: UNC LENOIR HEALTH CARE, WAKEMED, RALEIGH CAMPUS, BLUE RIDGE HEALTHCARE HOSPITALS, INC, SENTARA ALBEMARLE MEDICAL CENTER and PRISMA HEALTH TUOMEY HOSPITAL.