DR. CARLOS R HAMILTON III MD
NPI 1225077308
Radiology - Vascular & Interventional Radiology in Sugar Land, TX

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.43/100
CMS Quality Rating
4690 SWEETWATER BLVD, SUITE 200, SUGAR LAND, TX 77479(281) 565-0033(281) 565-0568 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos R Hamilton Iii Md NPPES

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

DR. CARLOS R HAMILTON III MD (NPI 1225077308) is an individual vascular & interventional radiology provider in Sugar Land, Texas, licensed in Texas (J8564) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical Branch At Galveston (1994).

NPPES Registry Identity

NPI1225077308
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. CARLOS R HAMILTON IIICredential: MD
Location Address4690 SWEETWATER BLVD, SUITE 200Sugar Land, TX 77479-3467
Mailing Address8135 Forest Ln Ste 200Dallas, TX 75230-2472
Fax(281) 565-0568
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
NPI 1225077308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in TX · J8564
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
4690 SWEETWATER BLVD, Sugar Land, TX 77479

Secondary Practice Locations 3

Location 1251 W Medical Center Blvd Ste 200Webster, TX 77598-4242 · Phone (866) 552-4866
Location 21650 Round Rock Ave Ste 100Round Rock, TX 78681-4082 · Phone (866) 552-4866
Location 319016 Stone Oak Pkwy Ste 180San Antonio, TX 78258-3281 · Phone (866) 552-4866

Accepted Insurance

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

Dr. Carlos R Hamilton Iii 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 ID4587554506
PECOS Enrollment IDI20070202000048
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 11

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.

Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance 36466
This procedure involves injecting a special chemical into problematic veins in your leg, using ultrasound technology to accurately target the veins. This helps to reduce issues like pain and swelling by improving blood flow in the leg.
290 services100 patients
Laser destruction of incompetent vein of arm or leg using imaging guidance 36478
Laser destruction of an incompetent vein is a non-invasive procedure where a laser is used to seal off a malfunctioning vein in the arm or leg. The process is guided by imaging technology to ensure precision and effectiveness. This helps alleviate symptoms like pain and swelling.
191 services93 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
184 services158 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
159 services73 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
120 services77 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.
119 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

76.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.5
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
69%875 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
86%256 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
82%648 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%789 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 81% · 449 patients
Patients screened: 84% · 449 patients
52%27 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
52%894 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 275 patients
Patients totalRate: 0% · 277 patients
0%277 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4690 SWEETWATER BLVD, SUITE 200
SUGAR LAND, TX 77479
Family Medicine
4690 SWEETWATER BLVD, SUITE 280
SUGAR LAND, TX 77479
Surgery (Plastic and Reconstructive Surgery)
4690 SWEETWATER BLVD, SUITE 140
SUGAR LAND, TX 77479
Physician Assistant
4690 SWEETWATER BLVD, SUITE 200
SUGAR LAND, TX 77479
Radiology (Vascular & Interventional Radiology)
4690 SWEETWATER BLVD, SUITE 200
SUGAR LAND, TX 77479
Physician Assistant
4690 SWEETWATER BLVD, ST #200
SUGAR LAND, TX 77479
Radiology (Vascular & Interventional Radiology)
4690 SWEETWATER BLVD, SUITE 200
SUGAR LAND, TX 77479
Physical Therapist
4690 SWEETWATER BLVD, SUITE 160
SUGAR LAND, TX 77479

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 Carlos Hamilton's NPI number?

The NPI number for Carlos Hamilton is 1225077308. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Carlos Hamilton located?

Carlos Hamilton practices at 4690 Sweetwater Blvd Suite 200, Sugar Land, TX 77479. The listed phone number is (281) 565-0033.

What is Carlos Hamilton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Carlos Hamilton enrolled in Medicare?

Yes. Carlos 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.

What insurance does Carlos Hamilton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Carlos 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 Carlos Hamilton was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.