DR. SANFORD TODD HAMILTON M.D.
NPI 1356488126
Otolaryngology in American Fork, UT

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
1175 E 50 S STE 211, AMERICAN FORK, UT 84003(801) 418-0870(801) 418-0871 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2020, Nov 1, 2018 (2 updates tracked since 2018).

About Dr. Sanford Todd Hamilton M.d. NPPES

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

DR. SANFORD TODD HAMILTON M.D. (NPI 1356488126) is an individual otolaryngology provider in American Fork, Utah, licensed in Utah (7310292-1205) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1356488126
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SANFORD TODD HAMILTONCredential: M.D.
Location Address1175 E 50 S STE 211American Fork, UT 84003-2845
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 418-0871
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004
Enumeration DateJanuary 31, 2007
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
NPI 1356488126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in UT · 7310292-1205
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License R0986 (KY)
1175 E 50 S STE 211, American Fork, UT 84003

Other Identifiers 1

Other7310292-1205UT · State License

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. Sanford Todd 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 ID9638245459
PECOS Enrollment IDI20090722000532
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
24 services23 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 2

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

Physician Assistant
1175 E 50 S STE 211
AMERICAN FORK, UT 84003
Audiologist
1175 E 50 S STE 211
AMERICAN FORK, UT 84003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356488126, enumerated as an "individual" on January 31, 2007.

The provider is located at 1175 E 50 S STE 211 AMERICAN FORK, UT 84003 and the phone number is (801) 418-0870.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Imperial Health Plan of. Please consult your insurance carrier or call the provider to verify.