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DR. DERRICK JACK HAMILTON D.O.
NPI 1376631283
Internal Medicine in Jackson, KY

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
1484 LAKESIDE DRIVE, JACKSON, KY 41339(606) 666-9950(606) 666-9136 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Derrick Jack Hamilton D.o. NPPES

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

DR. DERRICK JACK HAMILTON D.O. (NPI 1376631283) is an individual internal medicine provider in Jackson, Kentucky, licensed in Kentucky (02998) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2004).

NPPES Registry Identity

NPI1376631283
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DERRICK JACK HAMILTONCredential: D.O.
Location Address1484 LAKESIDE DRIVEJackson, KY 41339-6555
Mailing AddressPo Box 690Beattyville, KY 41311-0690 · (606) 464-0151 · Fax (606) 464-0152
Phone(606) 666-9950
Fax(606) 666-9136
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2004
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1376631283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 02998
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1484 LAKESIDE DRIVE, Jackson, KY 41339
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Other Identifiers 4

Other1467417691KY · Medicaid Fqhc Group Jackson
Medicaid7100015160KY
Other1407818628KY · Mediciaid Fqhc Group Lee
Other1962823393KY · Mediciaid Fqhc Group Wolfe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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. Derrick Jack Hamilton D.o. 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 ID7810097268
PECOS Enrollment IDI20070713000448
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 Reassignment

Medicare enrollment records show Derrick Hamilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Juniper Health Inc
0.1 mi
Federally Qualified Health Center (FQHC)
1484 LAKESIDE DRIVE
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1467417691 (606) 666-9950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41339 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 9

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

MS. BEVERLY DAWN ELLIS APRN
Nurse Practitioner (Family)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950
REBECCA K SMITH LCSW
Social Worker (Clinical)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950
MS. BRIDGET CHRISTINA TURNER LCSW
Social Worker (Clinical)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950
DR. ROGER CARL WORTHINGTON D.M.D.
Dentist (General Practice)
1484 LAKESIDE DRIVE, DENTAL SUITE
JACKSON, KY 41339
Breathitt County (606) 666-9950
JUNIPER HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950
DR. KIMERLI PLUMB-MOORE M.D.
Pediatrics
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950
ALLISON MICHELLE MANNING APRN, NP-C
Nurse Practitioner (Family)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950
DR. BRITTANY MOORE FUGATE D.O.
Internal Medicine
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Breathitt County (606) 666-9950

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 Derrick Hamilton's NPI number?

The NPI number for Derrick Hamilton is 1376631283. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Derrick Hamilton located?

Derrick Hamilton practices at 1484 Lakeside Drive, Jackson, KY 41339. The listed phone number is (606) 666-9950.

What is Derrick Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derrick Hamilton enrolled in Medicare?

Yes. Derrick 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 organization bills Medicare for Derrick Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Hamilton reassigns Medicare benefits to Juniper Health Inc (Jackson, KY). The 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 Derrick Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrick Hamilton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Derrick 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 Derrick Hamilton was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.