DR. SEAN MICHAEL HAMILTON M.D.
NPI 1275672347
Phlebology in Victoria, TX

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
93.19/100
CMS Quality Rating
1701 E RED RIVER ST, VICTORIA, TX 77901(361) 575-8346(361) 575-8351 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sean Michael Hamilton M.d. NPPES

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

DR. SEAN MICHAEL HAMILTON M.D. (NPI 1275672347) is an individual phlebology provider in Victoria, Texas, licensed in Texas (M6646) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2000).

NPPES Registry Identity

NPI1275672347
Entity TypeIndividualMale
Primary Taxonomy202K00000X
Provider Legal NameDR. SEAN MICHAEL HAMILTONCredential: M.D.
Location Address1701 E RED RIVER STVictoria, TX 77901-5621
Mailing AddressPo Box 4532Victoria, TX 77903-4532 · (361) 575-8346
Fax(361) 575-8351
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2000
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMay 4, 2016
NPI 1275672347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhlebologyAllopathic & Osteopathic Physicians
Taxonomy Code202K00000X
License Licensed in TX · M6646
Definition
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Also ListedSurgeryTaxonomy 208600000X · License M6646 (TX), 45278 (CO)
1701 E RED RIVER ST, Victoria, TX 77901

Other Identifiers 2

Medicare PIN8L9090TX
Other8BW612TX · Bluecross Blueshield

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. Sean Michael 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.

PECOS PAC ID6901982990
PECOS Enrollment IDI20080401000394
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 9

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 leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
263 services80 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.
208 services193 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.
199 services132 patients
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.
135 services111 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
129 services129 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
57 services40 patients

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.

93.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.16
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
99%488 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
58%312 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,396 patients5/55-star benchmark: 100%
e-Prescribing
100%119 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%807 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%698 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 352 patients
Patients screened: 99% · 352 patients
84%25 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%252 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
2 suppliers40 claims40 services$885.43 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
2 suppliers42 claims83 services$312.27 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

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

Surgery
1701 E RED RIVER ST
VICTORIA, TX 77901

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 Sean Hamilton's NPI number?

The NPI number for Sean Hamilton is 1275672347. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Sean Hamilton located?

Sean Hamilton practices at 1701 E Red River St, Victoria, TX 77901. The listed phone number is (361) 575-8346.

What is Sean Hamilton's specialty?

The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.

Is Sean Hamilton enrolled in Medicare?

Yes. Sean 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 Sean 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 3 other insurers list Sean 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 Sean Hamilton was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.