DR. GERALD B HAMILTON M.D.
NPI 1306831375
Surgery in Lenexa, KS

Active since September 15, 2005PECOS Enrolled
23401 PRAIRIE STAR PKWY, SUITE 300, LENEXA, KS 66227(913) 677-6319(913) 677-1540 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerald B Hamilton M.d. NPPES

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

DR. GERALD B HAMILTON M.D. (NPI 1306831375) is an individual surgery provider in Lenexa, Kansas, licensed in Kansas (04-28867) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1997).

NPPES Registry Identity

NPI1306831375
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GERALD B HAMILTONCredential: M.D.
Location Address23401 PRAIRIE STAR PKWY, SUITE 300Lenexa, KS 66227-7268
Mailing Address23401 Prairie Star Pkwy, Suite 300Lenexa, KS 66227-7268 · (913) 677-6319 · Fax (913) 677-1540
Fax(913) 677-1540
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1997
Enumeration DateSeptember 15, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1306831375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KS · 04-28867
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
23401 PRAIRIE STAR PKWY, Lenexa, KS 66227

Other Identifiers 4

OtherM400052405IN · Medicare
Other04-28867KS · Kansas License
Other1306831375KS · Tax Id #
Medicaid200521560AIN

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 (PECOS)

Dr. Gerald B Hamilton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012956105
PECOS Enrollment IDI20120921000269
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 29

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
56 services25 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
28 services19 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
17 services16 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
14 services14 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
12 services11 patients
Albumin (protein) level 82040
The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66227 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 10

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

Dietitian, Registered
23401 PRAIRIE STAR PKWY
LENEXA, KS 66227
Ophthalmology
23401 PRAIRIE STAR PKWY, SUITE 225
LENEXA, KS 66227
Surgery
23401 PRAIRIE STAR PKWY
LENEXA, KS 66227
Dietitian, Registered
23401 PRAIRIE STAR PKWY
LENEXA, KS 66227
Dietitian, Registered
23401 PRAIRIE STAR PKWY
LENEXA, KS 66227
Dietitian, Registered
23401 PRAIRIE STAR PKWY, SUITE 300
LENEXA, KS 66227
Physician Assistant (Surgical)
23401 PRAIRIE STAR PKWY
LENEXA, KS 66227
Physician Assistant (Surgical)
23401 PRAIRIE STAR PKWY, SUITE 300
LENEXA, KS 66227

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 Gerald Hamilton's NPI number?

The NPI number for Gerald Hamilton is 1306831375. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Gerald Hamilton located?

Gerald Hamilton practices at 23401 Prairie Star Pkwy Suite 300, Lenexa, KS 66227. The listed phone number is (913) 677-6319.

What is Gerald Hamilton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gerald Hamilton enrolled in Medicare?

Yes. Gerald Hamilton is registered in the Medicare PECOS enrollment system.

What insurance does Gerald Hamilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Gerald 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 Gerald Hamilton affiliated with any hospitals?

According to CMS data, Gerald Hamilton is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Gerald Hamilton was last updated on March 7, 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.