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GARRY A. HAMILTON MD
NPI 1396705596
Pediatrics in East Stroudsburg, PA

Active since March 23, 2006PECOS Enrolled
175 E BROWN ST STE 108, POCONO KIDS PEDIATRICS, EAST STROUDSBURG, PA 18301(570) 476-3585(570) 421-9014 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Garry A. Hamilton Md NPPES

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

GARRY A. HAMILTON MD (NPI 1396705596) is an individual pediatrics provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD423683) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396705596
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGARRY A. HAMILTONCredential: MD
Location Address175 E BROWN ST STE 108, POCONO KIDS PEDIATRICSEast Stroudsburg, PA 18301-3098
Mailing Address206 E Brown St, Pocono Healthcare Management - Professional Bldg.E Stroudsburg, PA 18301-3006 · (570) 420-4951 · Fax (570) 476-3754
Phone(570) 476-3585
Fax(570) 421-9014
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 15, 2011
✔ NPI 1396705596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD423683
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
175 E BROWN ST STE 108, East Stroudsburg, PA 18301
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Other Identifiers 3

Medicare ID-Type Unspecified078198PZPPA
Medicaid1009373070001PA
Medicare UPINI04630PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garry A. Hamilton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Garry Hamilton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Care Centers Inc
0.5 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700
Lehigh Valley Physician Group
0.5 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1366236937 (272) 762-4378
Valley Health Partners Community Health Center
1.5 mi
Federally Qualified Health Center (FQHC)
500 PLAZA CT
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group
NPI 1689409419 (570) 476-3585

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 18301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Garry Hamilton's NPI number?

The NPI number for Garry Hamilton is 1396705596. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Garry Hamilton located?

Garry Hamilton practices at 175 E Brown St Ste 108 Pocono Kids Pediatrics, East Stroudsburg, PA 18301. The listed phone number is (570) 476-3585.

What is Garry Hamilton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Garry Hamilton enrolled in Medicare?

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

Which organizations bill Medicare for Garry Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garry Hamilton reassigns Medicare benefits to 3 organizations: Family Care Centers Inc (East Stroudsburg, PA), Lehigh Valley Physician Group (East Stroudsburg, PA) and Valley Health Partners Community Health Center (East Stroudsburg, PA). Each 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 Garry Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Garry Hamilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Garry 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 Garry Hamilton was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.