ELAINE LEIGH HAMILTON M.D.
NPI 1215036173
Pediatrics in Austin, TX
About Elaine Leigh Hamilton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE LEIGH HAMILTON M.D. (NPI 1215036173) is an individual pediatrics provider in Austin, Texas, licensed in Texas (H3319) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Aurora (1986).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Elaine Leigh 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.
Medicare Billing Reassignments
2Medicare enrollment records show Elaine Hamilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Austin, TX 78723
- Reassigned Medicare billing, Texas enrollment
- 461 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elaine Hamilton's NPI number?
The NPI number for Elaine Hamilton is 1215036173. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Elaine Leigh Kennison.
Where is Elaine Hamilton located?
Elaine Hamilton practices at 3816 S 1st St, Austin, TX 78704. The listed phone number is (512) 443-1311.
What is Elaine Hamilton's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elaine Hamilton enrolled in Medicare?
Yes. Elaine 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.
Which organizations bill Medicare for Elaine Hamilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Hamilton reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Austin Regional Clinic, PA (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaine Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elaine Hamilton accept?
Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Elaine Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elaine Hamilton was last updated on September 6, 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.
# Elaine Leigh Hamilton, M.D. · NPI 1215036173
Pediatrics physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1215036173 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** H3319 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3816 S 1ST ST, Austin, TX 78704-7048
- **Phone:** (512) 443-1311 · **Fax:** (512) 406-6266
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Seton Family Of Doctors (NPI 1588997233, Austin, TX); Austin Regional Clinic, PA (NPI 1821157579, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Aurora, class of 1986
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215036173) · Data from the CMS NPPES public registry.