DR. MICHAEL DAVID HAMILTON MD
NPI 1235163510
Emergency Medicine in Mount Vernon, KY
About Dr. Michael David Hamilton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL DAVID HAMILTON MD (NPI 1235163510) is an individual emergency medicine provider in Mount Vernon, Kentucky, licensed in Kentucky (32467) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Michael David 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.
Medicare Billing Reassignments
6Medicare enrollment records show Michael Hamilton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, KY 40484
- Reassigned Medicare billing, Kentucky enrollment
- 247 clinicians in this Medicare group
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 41 clinicians in this Medicare group
Harrodsburg, KY 40330
- Reassigned Medicare billing, Kentucky enrollment
- 82 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Corydon, IN 47112
- Reassigned Medicare billing, Kentucky enrollment
- 28 clinicians in this Medicare group
Paducah, KY 42003
- Reassigned Medicare billing, Kentucky enrollment
- 220 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ephraim Mcdowell Regional Medical Center
Acute Care Hospitals · Danville, KYRockcastle County Hospital, Inc.
Acute Care Hospitals · Mount Vernon, KYEphraim Mcdowell Fort Logan Hospital
Critical Access Hospitals · Stanford, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MOUNT VERNON, KY 40456
MOUNT VERNON, KY 40456
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 Michael Hamilton's NPI number?
The NPI number for Michael Hamilton is 1235163510. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Michael Hamilton located?
Michael Hamilton practices at 145 Newcomb Ave, Mount Vernon, KY 40456. The listed phone number is (606) 256-2195.
What is Michael Hamilton's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Hamilton enrolled in Medicare?
Yes. Michael 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 Michael Hamilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hamilton reassigns Medicare benefits to 6 organizations: Ephraim Mcdowell Health Resource, Inc (Stanford, KY), Empact Midwest LLC (Danville, KY), The James B. Haggin Memorial Hospital Inc. (Harrodsburg, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Rockcastle Emergency Group, LLC (Corydon, IN) and 1 more organization, listed in the Medicare section above. 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 Michael Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Hamilton accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Michael 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.
Is Michael Hamilton affiliated with any hospitals?
According to CMS data, Michael Hamilton is affiliated with Ephraim Mcdowell Regional Medical Center, Rockcastle County Hospital, Inc. and Ephraim Mcdowell Fort Logan Hospital.
When was this NPI record last updated?
The NPPES record for Michael Hamilton was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Michael David Hamilton, MD · NPI 1235163510
Emergency Medicine physician in Mount Vernon, Kentucky. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1235163510 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 32467 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 NEWCOMB AVE, Mount Vernon, KY 40456-2728
- **Phone:** (606) 256-2195
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Ephraim Mcdowell Health Resource, Inc (NPI 1750790069, Stanford, KY); Empact Midwest LLC (NPI 1841801784, Danville, KY); The James B. Haggin Memorial Hospital Inc. (NPI 1396083325, Harrodsburg, KY); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Rockcastle Emergency Group, LLC (NPI 1225640154, Corydon, IN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 1995
## Record status
- **NPPES last updated:** April 19, 2017
- **Other identifiers:** Medicare UPIN G44794; Medicaid 64374671 (KY); Medicare PIN 00766045 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1235163510) · Data from the CMS NPPES public registry.