SYLVESTER SUTTON HAMILTON IV M.D.
NPI 1265415798
Family Medicine in Voorhees, NJ

Q: What is Sylvester Hamilton's NPI number?

The NPI number for Sylvester Hamilton is 1265415798. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Q: What is Sylvester Hamilton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment

2225 E EVESHAM RD STE 101A, VOORHEES, NJ 08043(856) 795-4330(856) 325-3704 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2022, Oct 14, 2022 (2 updates tracked since 2022).

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About Sylvester Sutton Hamilton Iv M.d. NPPES

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

SYLVESTER SUTTON HAMILTON IV M.D. (NPI 1265415798) is an individual family medicine provider in Voorhees, New Jersey, licensed in New Jersey (MA079477) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1265415798

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSYLVESTER SUTTON HAMILTON IVCredential: M.D.

Location Address2225 E EVESHAM RD STE 101AVoorhees, NJ 08043-1557

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 795-4330 · Fax (856) 325-3704

Phone(856) 795-4330

Fax(856) 325-3704

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 29, 2005

Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1265415798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · MA079477

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2225 E EVESHAM RD STE 101A, Voorhees, NJ 08043

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Secondary Practice Location 1

Location 175 W Red Bank AveWoodbury, NJ 08096-1694 · Phone (856) 853-2055 · Fax (856) 686-5218

Other Identifiers 1

Medicaid0082759NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Sylvester Sutton Hamilton Iv 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.

PECOS PAC ID9638070485

PECOS Enrollment IDI20080421000354

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 Sylvester Hamilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA

2.5 mi

Family Medicine

301 LIPPINCOTT DR STE 410
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
2,074 clinicians in this Medicare group

NPI 1649226515 (856) 355-0340

Community Health Care, Inc.

33 mi

Federally Qualified Health Center (FQHC)

30 NORTH PEARL STREET
Bridgeton, NJ 08302

Reassigned Medicare billing, New Jersey enrollment
281 clinicians in this Medicare group

NPI 1700816816 (856) 451-4700

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

83 services40 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.

72 services60 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

42 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims26 services$6.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. CHELSEA SHMUEL MD

Family Medicine